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Who mec for patients with endocrine disorders

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Who mec for patients with endocrine disorders

  1. 1. 7/20/2014 WHO MEC for patients with endocrine disorders http://www.uptodate.com.myaccess.library.utoronto.ca/contents/image?imageKey=OBGYN%2F69329&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: Endocrine conditions Condition COC CIC P/R POP DMPA NET­EN LNG/ETG Implants Cu­IUD LNG­IUD Diabetes History of gestational disease 1 1 1 1 1 1 1 1 Non­vascular disease Non­insulin dependent 2 2 2 2 2 2 1 2 Insulin dependent 2 2 2 2 2 2 1 2 Nephropathy/retinopathy/neuropathy 3/4 3/4 3/4 2 3 2 1 2 Other vascular disease or diabetes of >20 years' duration 3/4 3/4 3/4 2 3 2 1 2 Thyroid disorders Simple goitre 1 1 1 1 1 1 1 1 Hyperthyroid 1 1 1 1 1 1 1 1 Hypothyroid 1 1 1 1 1 1 1 1 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: http://www.who.int/reproductive­health/publications/mec/summary.html. Copyright © 2006 World Health Organization.
  2. 2. 7/20/2014 WHO MEC for patients with endocrine disorders http://www.uptodate.com.myaccess.library.utoronto.ca/contents/image?imageKey=OBGYN%2F69329&rank=1~150&search=contracep%C3%A7%C3%A3o&source=image_view&view=print&topicKey=OBGYN/5459&source=se… 2/2 Graphic 69329 Version 2.0

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