7/20/2014 WHO MEC for women with HIV AIDS

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World Health Organization medical eligibility for contraceptive use: HIV/AIDS

Condition COC CIC P/R POPDMPA

NET­EN

LNG/ETG

ImplantsCu­IUD LNG­IUD

High risk of HIV 1 1 1 1 1 1 Initiation: 2 Initiation: 2

Continuation: 2 Continuation: 2

HIV­Infected 1 1 1 1 1 1 Initiation: 2 Initiation: 2

Continuation: 2 Continuation: 2

AIDS 1 1 1 1 1 1 Initiation: 3 Initiation: 3

Continuation: 2 Continuation: 2

Clinically well on ARV therapy See Antiretroviral therapy (ARV) Initiation: 2/3 Initiation: 2/3

Continuation: 2 Continuation: 2

Other infections

Schistosomiasis

Uncomplicated 1 1 1 1 1 1 1 1

Fibrosis of the liver 1 1 1 1 1 1 1 1

Tuberculosis

Non­pelvic 1 1 1 1 1 1 Initiation: 1 Initiation: 1

Continuation: 1 Continuation: 1

Known pelvic 1 1 1 1 1 1 Initiation: 4 Initiation: 4

Continuation: 3 Continuation: 3

Malaria 1 1 1 1 1 1 1 1

7/20/2014 WHO MEC for women with HIV AIDS

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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.

Reaffirmed February 16, 2012.

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