Family Planning

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Cardiovascular DiseaseóóóóHigh blood pressure (systolic blood pressure higher than 160 mm Hg ordiastolic blood pressure higher than 100 mm Hg)Complicated valvular heart diseaseIschemic heart disease (heart disease due to narrowed arteries)StrokeOther InfectionsóóóHIV/AIDS (see Sexually Transmitted Infections Including HIV, Question 9,p. 287)TuberculosisSchistosomiasis with fibrosis of the liverEndocrine ConditionsóDiabetes if insulin dependent, with damage to arteries, kidneys, eyes, ornervous system (nephropathy, retinopathy, neuropathy), or of more than20 years’ durationAnemiasóSickle cell diseaseGastrointestinal ConditionsóóSevere (decompensated) cirrhosis of the liverMalignant (cancerous) liver tumors (hepatoma)CMedical Conditions That Make Pregnancy Especially Risky323Medical Conditions That MakePregnancy Especially Risky
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Collaborating and Supporting Organi
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Family PlanningA GLOBAL HANDBOOK FO
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ForewordsFrom the World Health Orga
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AcknowledgementsVera Zlidar, Ushma
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What’s New inThis Handbook?This n
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How to Obtain More Copiesof This Bo
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xii
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óóAs commonly used, about 8 pregn
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Facts About Combined Oral Contracep
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Medical Eligibility Criteria forCom
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Medical Eligibility Criteria for Co
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Providing Combined OralContraceptiv
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Woman’s situationNot breastfeedin
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Explaining How to Use1. Give pills
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“Come Back Any Time”: Reasons t
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óóóóóóóóóIf irregular blee
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óóóóóóóóóóóStarting trea
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Questions and Answers AboutCombined
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12. Can a woman safely take COCs th
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How Effective?Effectiveness depends
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Who Can and Cannot UseProgestin-Onl
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Using Clinical Judgment in Special
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Woman’s situationPartially breast
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Giving Advice on Side EffectsIMPORT
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Supporting the UserManaging Missed
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Managing Any ProblemsProblems Repor
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óóóóóóóBreast tendernessBrea
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Questions and Answers AboutProgesti
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10. Do POPs change women’s mood o
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What Pills Can Be Used as Emergency
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Correcting Misunderstandings (see a
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Dosing InformationFor specific prod
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When to Start Contraception After E
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Questions and Answers AboutEmergenc
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Hormoneand PillTypeCombined(estroge
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CHAPTER 4Progestin-OnlyInjectablesK
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Side Effects, Health Benefits, and
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New Formulation of DMPAA formulatio
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Medical Eligibility Criteria forPro
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Woman’s situationFully or nearly
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Supporting the UserGive specificins
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óDiscuss why the client was late a
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New Problems That May Require Switc
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6. Do progestin-only injectables ma
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CHAPTER 5Monthly InjectablesKey Poi
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Medical Eligibility Criteria forMon
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8. Do you have or have you ever had
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Providing Monthly InjectablesWhen t
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Woman’s situationNo monthlybleedi
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6. Dispose of ó Do not recap, bend
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Managing Late InjectionsóóóóIf
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New Problems That May Require Switc
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5Monthly Injectables5. Should the d
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OnlyEssentialstheCHAPTER 6Combined
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Providing the Combined PatchExplain
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OnlyEssentialstheCHAPTER 7CombinedV
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Providing the CombinedVaginal RingE
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CHAPTER 8ImplantsKey Points for Pro
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Side Effects, Health Benefits, Heal
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Who Can and Cannot UseImplantsSafe
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6. Do you have or have you ever had
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Woman’s situationFully or nearly
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Removing ImplantsIMPORTANT: Provide
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óóóóóóóóóóóóóóóóTo
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óóóIn the early stages of ectopi
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3. Do implants cause cancer?No. Stu
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CHAPTER 9Copper-BearingIntrauterine
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Medical Eligibility Criteria forCop
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Screening Questions for Pelvic Exam
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2.3.Ask the woman to consider her o
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Woman’s situationFully or nearlyf
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Supporting the UserGiving Specific
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4.A routine pelvic examination at t
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Switching toVasectomyWhen to start
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óóóóóóPartner can feel IUD st
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óóIUD completely comes out (compl
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3. If a current IUD user has a sexu
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OnlyEssentialstheCHAPTER 10Levonorg
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Known Health BenefitsHelps protect
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Woman’s situationPartially breast
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CHAPTER 11Female SterilizationKey P
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óSpecial means special arrangement
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óóóóóSevere lack of nutrition
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Ensuring Informed ChoiceIMPORTANT:
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Performing the Sterilization Proced
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Supporting the UserExplaining Self-
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óóSevere pain in lower abdomen (s
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5. Does a woman who has had a steri
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CHAPTER 12VasectomyKey Points for P
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Side Effects, Health Benefits, Heal
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Medical Eligibility Criteria forVas
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Providing VasectomyWhen to Perform
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Performing the Vasectomy ProcedureE
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Questions and Answers AboutVasectom
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11. Does vasectomy increase a man
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Supporting the UserEnsure clientund
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Managing Any ProblemsProblems With
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Questions and Answers AboutMale Con
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8. Can a man put 2 or 3 condoms on
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Providing Female CondomsWhen to Sta
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Supporting the UserEnsure clientund
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Managing Any ProblemsProblems With
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4. What is the best way to make sur
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Providing SpermicidesWhen to Start
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Medical Eligibility Criteria for Di
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Explaining How to Use the Diaphragm
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Tips for Users of Spermicides or th
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óóóóóBacterial vaginosis (abno
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6. Could a woman leave a diaphragm
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óWork primarily by helping a woman
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Who Can Use Calendar-BasedMethodsMe
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Explaining How to Use Calendar -Bas
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Who Can Use Symptoms-Based MethodsM
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Explaining How to Use Symptoms-Base
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Ovulation MethodIMPORTANT: If a wom
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Supporting the User“Come Back Any
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3. What is new about the newer fert
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Who Can and Cannot UseWithdrawalMed
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óWorks primarily by preventing the
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The Lactational Amenorrhea Method f
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When Can a Woman Use LAM?A breastfe
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Helping Continuing UsersHelping Cli
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266
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Provide Services with Care and Resp
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MenImportant Supporters, Important
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Women Near MenopauseA woman has rea
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Relieving Symptoms of MenopauseWome
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pain, and cervical cancer. Over tim
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More About HIV and AIDSóóóóHIV
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óBacterial vaginosis and trichomon
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Contraceptives for Clientswith STIs
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Cervical CancerWhat Is Cervical Can
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Questions and Answers AboutSexually
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10. Does using hormonal contracepti
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óIf a woman has, or may have been
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After ChildbirthóóCoordinate fami
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Preventing Mother-to-Child Transmis
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óóóóóSore or cracked nipplesIf
Page 622: Help Women Obtain Family PlanningCo
Page 626: Violence Against WomenEvery family
Page 630: 4.5.óIf she wants to talk about he
Page 634: InfertilityWhat Is Infertility?Infe
Page 638: Counseling Clients With Fertility P
Page 642: Successful CounselingGood counselin
Page 646: Who ProvidesFamily Planning?Many di
Page 650: Infection Preventionin the ClinicIn
Page 654: Dispose of singleuseequipmentand su
Page 658: Managing ContraceptiveSuppliesGood-
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Page 666: APPENDIX BSigns and Symptoms ofSeri
Page 670: Appendix CMedical Conditions That M
Page 676: ConditionCombined oralcontraceptive
Page 680: = Use the method= Do not use the me
Page 692: hernia; postpartum uterine rupture
Page 696: Glossaryabscess A pocket of pus sur
Page 700: endometrial cancer Malignant (cance
Page 704: jaundice Abnormal yellowing of the
Page 708: scrotum The pouch of skin behind th
Page 712: Aabdominal bloating and discomfort.
Page 716: community-based distribution...317c
Page 720: genital warts...279, 284-285gloves.
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lubricants...274for female condoms.
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post-exposure prophylaxis...209, 28
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unexplained vaginal bleeding...40,
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MethodologyThis handbook, one of th
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p. 250 Institute for Reproductive H
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Comparing InjectablesCharacteristic
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Characteristic Male Condoms Female
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Correctly Using a Male Condom1. Use
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External AnatomyClitorisSensitive b
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Male Anatomyand How Contraceptives
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Identifying Migraine HeadachesFor w
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When she returns:óóIf she returns
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If You Miss PillsAlways take a pill
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Family Planning

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