Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Who mec for gastrointestinal disorders

378 views

Published on

  • Be the first to comment

  • Be the first to like this

Who mec for gastrointestinal disorders

  1. 1. 7/20/2014 WHO MEC for gastrointestinal disorders http://www.uptodate.com.myaccess.library.utoronto.ca/contents/image?imageKey=OBGYN%2F55954&rank=1~150&search=contracep%C3%A7%C3%A3o&source=image_view&view=print&topicKey=OBGYN/5459&source=se… 1/2 Official reprint from UpToDate®  www.uptodate.com ©2014 UpToDate® World Health Organization medical eligibility for contraceptive use: Gastrointestinal conditions Condition COC CIC P/R POP DMPA NET­ EN LNG/ETG Implants Cu­ IUD LNG­ IUD Gall­bladder disease Symptomatic Treated by cholecystectomy 2 2 2 2 2 2 1 2 Medically treated 3 2 3 2 2 2 1 2 Current 3 2 3 2 2 2 1 2 Asymptomatic 2 2 2 2 2 2 1 2 History of cholestasis Pregnancy­related 2 2 2 1 1 1 1 1 Past COC­related 3 2 3 2 2 2 1 2 Viral hepatitis Acute or flare 3/4 to initiate method 2 to continue method 3 to initiate method 2 to continue method 3/4 to initiate method 2 to continue method 1 1 1 1 1 Carrier or chronic disease 1 1 1 1 1 1 1 1 Cirrhosis
  2. 2. 7/20/2014 WHO MEC for gastrointestinal disorders http://www.uptodate.com.myaccess.library.utoronto.ca/contents/image?imageKey=OBGYN%2F55954&rank=1~150&search=contracep%C3%A7%C3%A3o&source=image_view&view=print&topicKey=OBGYN/5459&source=se… 2/2 Mild (compensated) 1 1 1 1 1 1 1 1 Severe (decompensated) 4 3 4 3 3 3 1 3 Liver tumors Benign hepatocellular adenoma 4 3 4 3 3 3 1 3 Benign focal nodular hyperplasia 2 2 2 2 2 2 1 2 Malignant (hepatoma) 4 3/4 4 3 3 3 1 3 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: low­dose combined oral contraceptive; CIC: combined injectable contraceptives; P: combined patch; R: combined vaginal ring; POP: progestogen­only pill; DMPA: depot medroxyprogesterone acetate; NET­EN: norethisterone enantate; LNG: levonorgestrel; ETG: etonogestrel; ECP: emergency contraceptive pill; Cu­IUD: copper intrauterine device; LNG­IUD: levonorgestrel­releasing IUDs; E­IUD: copper­IUD for emergency contraception; BARR: barrier methods; FAB: fertility awareness­based methods; LAM: lactational amenorrhoea method; CI: coitus interruptus; STER: female and male sterilization. Reproduced with permission from: Medical Eligibility Criteria for Contraceptive Use ­ 3rd Ed. Available at: http://www.who.int/reproductive­ health/publications/mec/summary.html. Copyright © 2006 World Health Organization. Revised from: Medical Eligibility Criteria for Contraceptive Use, 2009 update. Available at: http://www.who.int/reproductive­health/publications/mec/. Graphic 55954 Version 5.0

×