1. 7/20/2014 WHO MEC for neurologic conditions
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Official reprint from UpToDate®
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World Health Organization medical eligibility for contraceptive use: Neurologic conditions
Condition
COC CIC P/R POP
DMPA
NET­
EN
LNG/ETG
Implants
Cu­
IUD
LNG­
IUD
I C I C I C I C I C I C I C
Headaches
Non­migrainous (mild or severe) 1 2 1 2 1 2 1 1 1 1 1 1 1 1 1
Migraine
Without aura
Age <35 2 3 2 3 2 3 1 2 2 2 2 2 1 2 2
Age ≥35 3 4 3 4 3 4 1 2 2 2 2 2 1 2 2
With aura (at any age) 4 4 4 4 4 4 2 3 2 3 2 3 1 2 3
Epilepsy
(these eligibility categories do NOT apply to women taking
antiepileptic drugs*)
1 1 1 1 1 1 1 1
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:

2. 7/20/2014 WHO MEC for neurologic conditions
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fertility awareness­based methods; LAM: lactational amenorrhoea method; CI: coitus interruptus; STER: female and male sterilization; I: Initiation of method;
C: Continuation of method
* For women taking antiepileptic drugs, please refer to the corresponding WHO table on Drug Interactions and contraceptive choice.
Reproduced with permission from: http://www.who.int/reproductive­health/publications/mec/summary.html. Copyright © 2006 World Health Organization.
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