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

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

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Vol. 59 / RR-4 Recommendations and Reports 65<br />

Appendix G<br />

Classifications <strong>for</strong> Barrier Methods<br />

Classifications <strong>for</strong> barrier contraceptive methods include<br />

those <strong>for</strong> condoms, which include male latex condoms, male<br />

polyurethane condoms, and female condoms; spermicides; and<br />

diaphragm with spermicide or cervical cap (Box). Consistent<br />

and correct use of the male latex condom reduces the risk <strong>for</strong><br />

STI/HIV transmission.<br />

Women with conditions that make pregnancy an unacceptable<br />

risk should be advised that barrier methods <strong>for</strong> pregnancy<br />

prevention may not be appropriate <strong>for</strong> those who cannot use<br />

them consistently and correctly because of the relatively higher<br />

typical-use failure rates of these methods.<br />

BOX. Categories <strong>for</strong> Classifying Barrier Methods<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> barrier methods,* † including condoms, spermicides, and diaphragms/caps<br />

Category<br />

Condition<br />

Condom<br />

Spermicide<br />

Diaphragm/<br />

cap<br />

Clarifications/Evidence/Comments<br />

Personal Characteristics and Reproductive History<br />

Pregnancy<br />

Not<br />

applicable<br />

Not<br />

applicable<br />

Not<br />

applicable<br />

Clarification: None of these methods are relevant <strong>for</strong> contraception during known<br />

pregnancy. However, <strong>for</strong> women who remain at risk <strong>for</strong> STI/HIV during pregnancy,<br />

the correct and consistent use of condoms is recommended.<br />

Age<br />

a. Menarche to

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