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CDC Article-US Medical Eligibility Criteria for Contraceptive Use, 2010

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52 MMWR June 18, <strong>2010</strong><br />

Appendix E<br />

Classifications <strong>for</strong> Intrauterine Devices<br />

Classifications <strong>for</strong> intrauterine devices (IUDs) are <strong>for</strong> the<br />

levonorgestrel-releasing (20 μg/24 hours) IUD and the copperbearing<br />

IUD (Box). IUDs do not protect against sexually<br />

transmitted infections (STIs) or human immunodeficiency<br />

virus (HIV).<br />

BOX. Categories <strong>for</strong> Classifying Intrauterine Devices<br />

1 = A condition <strong>for</strong> which there is no restriction <strong>for</strong> the use of the contraceptive method.<br />

2 = A condition <strong>for</strong> which the advantages of using the method generally outweigh the theoretical or proven risks.<br />

3 = A condition <strong>for</strong> which the theoretical or proven risks usually outweigh the advantages of using the method.<br />

4 = A condition that represents an unacceptable health risk if the contraceptive method is used.<br />

TABLE. Classifications <strong>for</strong> intrauterine devices, including the LNG-IUD and the Cu-IUD* †<br />

Condition<br />

LNG-IUD<br />

Personal Characteristics and Reproductive History<br />

Category<br />

Cu-IUD<br />

Clarifications/Evidence/Comments<br />

Pregnancy 4 4 Clarification: The IUD is not indicated during pregnancy and<br />

should not be used because of the risk <strong>for</strong> serious pelvic infection<br />

and septic spontaneous abortion.<br />

Age<br />

a. Menarche to

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