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Summary Chart of U.S. Medical Eligibility Criteria for Contraceptive Use

Key:|
1 No restriction (method can be used)| |
2 Advantages generally outweigh theoretical or proven risks| | 3 | Theoretical or proven risks usually outweigh the advantages| | 4 Unacceptable health risk (method not to be used)| | Updated June 2012. This summary sheet only contains a subset of the recommendations from the US MEC. For complete guidance, see: http://www.cdc.gov/reproductivehealth/unintendedpregnancy/USMEC.htm

Most contraceptive methods do not protect against sexually transmitted infections (STIs). Consistent and correct use of the male latex condom reduces the risk of STIs and HIV.

Condition| Sub-condition | Combined pill, patch, ring| Progestin-only pill| Injection| Implant| LNG--IUD| Copper-IUD| | | I| C| I| C| I| C| I| C| I| C| I| C| Age| | Menarche to <40=1| Menarche to <18=1| Menarche to <18=2| Menarche to <18=1| Menarche to <20=2| Menarche to <20=2| | | >40=2| 18-45=1| 18-45=1| 18-45=1| >20=1| >20=1| | | | >45=1| >45=2| >45=1| | |

Anatomicabnormalities | a) Distorted uterine cavity| | | | | 4| 4| | b) Other abnormalities| | | | | 2| 2|
Anemias| a) Thalassemia| 1| 1| 1| 1| 1| 2|
| b) Sickle cell disease‡| 2| 1| 1| 1| 1| 2|
| c) Iron-deficiency anemia| 1| 1| 1| 1| 1| 2|
Benign ovarian tumors| (including cysts)| 1| 1| 1| 1| 1| 1| Breast disease| a) Undiagnosed mass| 2*| 2*| 2*| 2*| 2| 1| | b) Benign breast disease| 1| 1| 1| 1| 1| 1| | c) Family history of cancer| 1| 1| 1| 1| 1| 1| | d) Breast cancer‡| | | | | | |

| i) current| 4| 4| 4| 4| 4| 1|
| ii) past and no evidence of current disease for 5 years| 3| 3| 3| 3| 3| 1| Breastfeeding(see also Postpartum)| a) < 1 month postpartum| 3*| 2*| 2*| 2*| | | | b) 1 month or more postpartum| 2*| 1*| 1*| 1*| | | Cervical cancer| Awaiting treatment| 2| 1| 2| 2| 4| 2| 4| 2| Cervical ectropion| | 1| 1| 1| 1| 1| 1|

Cervical intraepithelial neoplasia | | 2| 1| 2| 2| 2| 1| Cirrhosis| a) Mild (compensated)| 1| 1| 1| 1| 1| 1| | b) Severe‡ (decompensated)| 4| 3| 3| 3| 3| 1| Deep venous thrombosis (DVT) /Pulmonary embolism (PE)| a) History of DVT/PE, not on anticoagulant therapy| | | | | | | | i) higher risk for recurrent DVT/PE | 4| 2| 2| 2| 2| 1| | ii) lower risk for recurrent DVT/PE | 3| 2| 2| 2| 2| 1| | b) Acute DVT/PE| 4| 2| 2| 2| 2| 2|

| c) DVT/PE and established on anticoagulant therapy for at least 3 months| | | | | | | | i) higher risk for recurrent DVT/PE | 4*| 2| 2| 2| 2| 2| | ii) lower risk for recurrent DVT/PE | 3*| 2| 2| 2| 2| 2| | d) Family history (first-degree relatives)| 2| 1| 1| 1| 1| 1| | e) Major surgery| | | | | | |

| (i) with prolonged immobilization| 4| 2| 2| 2| 2| 1| | (ii) without prolonged immobilization| 2| 1| 1| 1| 1| 1| | f) Minor surgery without immobilization| 1| 1| 1| 1| 1| 1| Depressive disorders| | 1*| 1*| 1*| 1*| 1*| 1*|

Diabetes mellitus (DM) | a) History of gestational DM only| 1| 1| 1| 1| 1| 1| | b) Non-vascular disease| | | | | | |
Diabetes mellitus (cont.)| (i) non-insulin dependent| 2| 2| 2| 2| 2| 1| | (ii) insulin dependent‡| 2| 2| 2| 2| 2| 1| | c) Nephropathy/ retinopathy/ neuropathy‡| 3/4*| 2| 3| 2| 2| 1| | d) Other vascular disease or diabetes of >20 years' duration‡| 3/4*| 2| 3| 2| 2| 1| Endometrial cancer‡| | 1| 1| 1| 1| 4| 2| 4| 2|...
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