Case-Based Learning| Volume 32, ISSUE 1, P20-27, January 2022

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Contraception in women with medical conditions

Published:December 10, 2021DOI:


      Pregnancy in women with certain medical conditions can result in significant fetal and maternal morbidity and mortality. It is therefore crucial that these women are able to plan and space their pregnancies appropriately through the use of contraception. Obstetricians and gynaecologists will often encounter these women in the inpatient and outpatient setting and be asked to give advice about the suitability of contraception. In this case-based learning article we will consider how to assess a woman seeking contraception. We will also discuss the medical eligibility, efficacy and acceptability of contraception as well as when contraception should be started after pregnancy and stopped at menopause.


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      Further reading

        • Faculty for Sexual and Reproductive Healthcare
        UKMEC summary table hormonal and intrauterine contraception.
        (amended 2019)2016
        • Faculty for Sexual and Reproductive Healthcare
        CEU statement: management of women taking anticoagulants or antiplatelet medications who request intrauterine contraception or subdermal implants.
        • Faculty of Sexual and Reproductive Health
        Contraceptive choices for women with cardiac diseases.
        • Faculty of Sexual and Reproductive Health
        CEU statement: contraceptive choices and sexual health for transgender and non binary people.