1. 7/20/2014 WHO MEC for patients with endocrine disorders
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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. 7/20/2014 WHO MEC for patients with endocrine disorders
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