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Who mec for gastrointestinal disorders

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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

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