MEC Criteria for Contraceptives PDF

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Description

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

Condition

Sub-Condition

CHC I

Age

Anatomic abnormalities

a) Distorted uterine cavity

Anemias

a) Thalassemia b) Sickle cell disease‡ c) Iron-deficiency anemia

Benign ovarian tumors Breast disease

(including cysts) a) Undiagnosed mass b) Benign breast disease c) Family history of cancer d) Breast cancer‡

Breastfeeding (see also Postpartum) Cervical cancer Cervical ectropion

b) Other abnormalities

I

C

Injection Condition

1 2 1 1 2* 1 1

1 1 1 1 2* 1 1

3*

2*

b) 1 month or more postpartum

2*

1*

Awaiting treatment

2 1 2

1 1 1

History of cholestasis

1 4

1 3

History of high blood pressure during pregnancy History of pelvic surgery

2 2 2

2 2 1

i) with prolonged immobilization ii) without prolonged immobilization f) Minor surgery without immobilization

4 2 1 1*

2 1 1 1*

a) History of gestational DM only b) Non-vascular disease

1

1

d) Family history (first-degree relatives) e) Major surgery

Depressive disorders

i) non-insulin dependent

2

2

ii) insulin dependent‡

2

2

Hypertension

I

C

I

C

1 1

1 1

Cu-IUD

I

C

I

4

2

4

1

C

2 1

1

1

1

1

1

2

1*

1*

1*

1

1

i) treated by cholecystectomy ii) medically treated iii) current b) Asymptomatic

2 3 3 2 1 1

2 2 2 2 1 1

2 2 2 2 1 1

2 2 2 2 1 1

2 2 2 2 3 4

1 1 1 1 3 4

ii) without aura, age ≥35 iii) with aura, any age a) Restrictive procedures

a) Pregnancy-related b) Past COC-related

High risk HIV infected (see also Drug Interactions)‡ AIDS (see also Drug Interactions)‡ Clinically well on therapy

Hyperlipidemias

4* 3* 2

C

1 1

Implant LNGIUD

1*

b) Malabsorptive procedures

Human immunodeficiency virus (HIV)

I

Injection

(see also Drug Interactions) a) Symptomatic

i) without aura, age...