2. 7/20/2014 WHO MEC for reproductive tract infections and disorders
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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)
3. 7/20/2014 WHO MEC for reproductive tract infections and disorders
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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: lowdose combined oral contraceptive; CIC: combined injectable contraceptives; P: combined patch; R: combined vaginal ring; POP: progestogenonly pill;
