Medical Eligibility Criteria for Progestin-Only Injectables
Ask the client the questions below about known medical conditions. Examinations and tests are not necessary. If she answers "no" to all of the questions, then she can start progestin-only injectables if she wants. If she answers "yes" to a question, follow the instructions. In some cases she can still start progestin-only injectables. |
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1. Are you breastfeeding a baby less than 6 weeks old?
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2. Do you have severe cirrhosis of the liver or severe liver tumor?
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3. Do you have high blood pressure?
Check her blood pressure if possible:
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4. Have you had diabetes for more than 20 years or damage to your arteries, vision, kidneys, or nervous system caused by diabetes?
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5. Have you ever had a stroke, blood clot in your leg or lungs, heart attack, or other serious heart problems?
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6. Are you having vaginal bleeding that is unusual for you?
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7. Do you have or have you ever had breast cancer?
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8. Do you have several conditions that could increase your chances of heart disease (coronary artery disease) or stroke, such as high blood pressure and diabetes?
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Also, women should not use progestin-only injectables if they report having lupus with positive (or unknown) antiphospholipid antibodies and not on immunosuppressive treatment, or severe thrombocytopenia. For complete classifications, see Medical Eligibility Criteria for Contraceptive Use. Be sure to explain the health benefits and risks and the side effects of the method that the client will use. Also, point out any conditions that would make the method inadvisable, when relevant to the client. |