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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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World Health Organization medical eligibility for contraceptive use: Reproductive tract infections and disorders

World Health Organization medical eligibility for contraceptive use: Reproductive tract infections and disorders
Condition COC CIC P/R POP

DMPA

NET-EN

LNG/ETG

Implants

Cu-IUD LNG-IUD
Vaginal bleeding patterns
Irregular pattern without heavy bleeding 1 1 1 2 2 2 1 Initiation: 1
Continuation: 1
Heavy or prolonged bleeding (includes regular and irregular patterns) 1 1 1 2 2 2 2 Initiation: 1
Continuation: 2
Unexplained vaginal bleeding (suspicious for serious condition)
Before evaluation 2 2 2 2 3 3 Initiation: 4 Initiation: 4
Continuation: 2 Continuation: 2
Endometriosis 1 1 1 1 1 1 2 1
Benign ovarian tumors (including cysts) 1 1 1 1 1 1 1 1
Severe dysmenorrhoea 1 1 1 1 1 1 2 1
Gestational trophoblastic disease
Decreasing or undetectable human chorionic gonadotropin levels 1 1 1 1 1 1 3 3
Persistently elevated human chorionic gonadotropin levels or malignant disease 1 1 1 1 1 1 4 4
Cervical ectropion 1 1 1 1 1 1 1 1
Cervical intraepithelial neoplasia (CIN) 2 2 2 1 2 2 1 2
Cervical cancer (awaiting treatment) 2 2 2 1 2 2 Initiation: 4 Initiation: 4
Continuation: 2 Continuation: 2
Breast disease
Undiagnosed mass 2 2 2 2 2 2 1 2
Benign breast disease 1 1 1 1 1 1 1 1
Family history of cancer 1 1 1 1 1 1 1 1
Cancer
Current 4 4 4 4 4 4 1 4
Past and no evidence of current disease for five years 3 3 3 3 3 3 1 3
Endometrial cancer 1 1 1 1 1 1 Initiation: 4 Initiation: 4
Continuation: 2 Continuation: 2
Ovarian cancer 1 1 1 1 1 1 Initiation: 3 Initiation: 3
Continuation: 2 Continuation: 2
Uterine fibroids
Without distortion of the uterine cavity 1 1 1 1 1 1 1 1
With distortion of the uterine cavity 1 1 1 1 1 1 4 4
Anatomical abnormalities
That distort the uterine cavity             4 4
That do not distort the uterine cavity             2 2
Pelvic inflammatory disease (PID)
Past PID (assuming no current risk factors of STIs)
With subsequent pregnancy 1 1 1 1 1 1 Initiation: 1 Initiation: 1
Continuation: 1 Continuation: 1
Without subsequent pregnancy 1 1 1 1 1 1 Initiation: 2 Initiation: 2
Continuation: 2 Continuation: 2
PID - current or within last three months 1 1 1 1 1 1 Initiation: 4 Initiation: 4
Continuation: 2 Continuation: 2
STIs (sexually transmitted infections)
Current purulent cervicitis or chlamydial infection or gonorrhoea 1 1 1 1 1 1 Initiation: 4 Initiation: 4
Continuation: 2 Continuation: 2
Other STIs (excluding HIV and hepatitis) 1 1 1 1 1 1 Initiation: 2 Initiation: 2
Continuation: 2 Continuation: 2
Vaginitis (including trichomonas vaginalis and bacterial vaginosis) 1 1 1 1 1 1 Initiation: 2 Initiation: 2
Continuation: 2 Continuation: 2
Increased risk of STIs 1 1 1 1 1 1 Initiation: 2/3 Initiation: 2/3
Continuation: 2 Continuation: 2
1: A condition for which there is no restriction for the use of the contraceptive method.
2: A condition where the advantages of using the method generally outweigh the theoretical or proven risks.
3: A condition where the theoretical or proven risks usually outweigh the advantages of using the method.
4: A condition which represents an unacceptable health risk if the contraceptive method is used.
COC: low-dose combined oral contraceptive; CIC: combined injectable contraceptives; P: combined patch; R: combined vaginal ring; POP: progestogen-only pill; DMPA: depot medroxyprogesterone acetate; NET-EN: norethisterone enantate; LNG: levonorgestrel; ETG: etonogestrel; ECP: emergency contraceptive pill; Cu-IUD: copper intrauterine device; LNG-IUD: levonorgestrel-releasing IUDs; E-IUD: copper-IUD for emergency contraception; BARR: barrier methods; FAB: fertility awareness-based methods; LAM: lactational amenorrhoea method; CI: coitus interruptus; STER: female and male sterilization.
Reproduced with permission from: http://www.who.int/reproductive-health/publications/mec/summary.html. Copyright © 2006 World Health Organization. Updated and revised 2009.
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