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Candidate Ideal method 
Nulliparous women, Young couple 
OCP, Barrier methods, Newer IUDs, 
Emergency methods for failure 
Avoid depot preparations, Cu T 
Couple with one or more children 
IUD, OCP, Barrier methods, Depot 
preparations, Emergency methods for 
failure 
Diabetes, HTN, co-morbidity, 
hyperlipidemia 
Barrier methods, POP 
Avoid OCP (oestrogen containing) 
Lactating mother 
Barrier methods, POP, IUD 
Avoid OCP 
Postpartum period 
Barrier methods, POP, IUD 
Avoid OCP, laparoscopic tubectomy 
Couple completed family Sterilization 
Adolescent Barrier methods, OCP 
Older women with CVD risk 
POP, IUD, Barrier methods 
Avoid OCP 
Couple having RTI 
Barrier methods 
Avoid IUD, sterilization 
Mother with psychiatric disorder 
Sterilization with psychiatrist opinion 
Other methods can’t be used 
Ill motivated illiterate woman 
Sterilization if completed family, OCP 
Avoid IUD, barrier methods 
Motivated literate woman 
Barrier methods, OCP, IUD, Natural 
methods 
Mother on TB drugs 
Barrier methods 
Avoid OCP, IUD 
H/o ectopic pregnancy 
OCP, Barrier methods 
Avoid POP, LNG IUD, natural methods 
Note: Never advise spermicidal jelly, vaginal caps or diaphragm, emergency 
contraception, natural methods in isolation.

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Ideal contraceptive methods by patient characteristics

  • 1. Candidate Ideal method Nulliparous women, Young couple OCP, Barrier methods, Newer IUDs, Emergency methods for failure Avoid depot preparations, Cu T Couple with one or more children IUD, OCP, Barrier methods, Depot preparations, Emergency methods for failure Diabetes, HTN, co-morbidity, hyperlipidemia Barrier methods, POP Avoid OCP (oestrogen containing) Lactating mother Barrier methods, POP, IUD Avoid OCP Postpartum period Barrier methods, POP, IUD Avoid OCP, laparoscopic tubectomy Couple completed family Sterilization Adolescent Barrier methods, OCP Older women with CVD risk POP, IUD, Barrier methods Avoid OCP Couple having RTI Barrier methods Avoid IUD, sterilization Mother with psychiatric disorder Sterilization with psychiatrist opinion Other methods can’t be used Ill motivated illiterate woman Sterilization if completed family, OCP Avoid IUD, barrier methods Motivated literate woman Barrier methods, OCP, IUD, Natural methods Mother on TB drugs Barrier methods Avoid OCP, IUD H/o ectopic pregnancy OCP, Barrier methods Avoid POP, LNG IUD, natural methods Note: Never advise spermicidal jelly, vaginal caps or diaphragm, emergency contraception, natural methods in isolation.