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Contraceptive use criteria updated.


Based on the latest clinical and epidemiological data, updated summary tables of medical eligibility criteria for contraceptive use are available at http://www.who.int/reproductive-health/publications/ RHR_00_2_medical_eligibility_criteria_3rd/index.htm. The tables, prepared to reflect recommendations made by an expert working group in October 2003, appear in the recently finalized third edition of the World Health Organization's Medical Eligibility Criteria for Contraceptive Use.

Of note, review of the scientific evidence led to revised guidance on the use of the intrauterine device (IUD IUD Definition

An IUD is an intrauterine device made of plastic and/or copper that is inserted into the womb (uterus) by way of the vaginal canal. One type releases a hormone (progesterone), and is replaced each year.
). In general, the revisions treat the IUD more favorably than before. Although IUD use should not be initiated in women with pelvic inflammatory disease pelvic inflammatory disease (PID), infection of the female reproductive organs, usually resulting from infection with the bacteria that cause chlamydia or gonorrhea.  or in women with current purulent pu·ru·lent
adj.
Containing, discharging, or causing the production of pus.


Purulent
Consisting of or containing pus

Mentioned in: Lacrimal Duct Obstruction


purulent

containing or forming pus.
 cervicitis cervicitis

Inflammation of the cervix of the uterus, caused by infection or irritation. It is most common during the years of menstruation. Cervicitis can be acute or chronic and may worsen during pregnancy. It does not cause pain but may lead to polyps.
, chlamydial infection, or gonorrhea, such women who already have an IUD can continue to use the method, and infection can be treated with an IUD in place. Likewise, women can generally continue using the IUD if they are at increased risk of sexually transmitted infections (including HIV), are HIV infected, or have AIDS. Initiation of IUD use is usually not recommended for women with AIDS who either are not receiving antiretroviral therapy or do not have clinical improvement while on such therapy.

Other noteworthy updates include the addition of a category entitled "known thrombogenic throm·bo·gen·ic
adj.
Causing or resulting in thrombosis or coagulation of the blood.
 mutations" for which combined oral or injectable contraceptives should not be used. For another new category--"depressive disorders"--no restrictions exist for any contraceptive method, except for sterilization (for which caution is recommended). All hormonal contraceptives can generally be used or carry no restrictions for women with AIDS. Women using rifampicin and certain anticonvulsants Anticonvulsants
Drugs used to control seizures, such as in epilepsy.

Mentioned in: Antipsychotic Drugs, Osteoporosis
 can generally use combined injectable contraceptives now. Oral contraceptives and combined injectables can generally be used or carry no restrictions for women using griseofulvin griseofulvin /gris·eo·ful·vin/ (gris?e-o-ful´vin) an antibiotic produced by Penicillium griseofulvum ; used as an antifungal in dermatophytoses.

gris·e·o·ful·vin
n.
. Finally, the tables have been updated to include three new contraceptive methods: patch, ring, and etonogestrel implants.
COPYRIGHT 2004 Family Health International
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Copyright 2004, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Network
Date:Mar 22, 2004
Words:308
Previous Article:Letter from the editor.(Brief Article)
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