= Use the method       = Do not use the method   I   = Initiation of the method   C   = Continuation of the method   —   = Use the method   NA   = Not applicable Condition													*					*
REPRODUCTIVE TRACT INFECTIONS AND DISORDERS
Vaginal bleeding patterns																I	C
Irregular pattern without heavy bleeding	1		1		1		2		2		2		—	1		1	1	A
Heavy or prolonged bleeding (including regular and irregular patterns)	1		1		1		2		2		2		—	2		1	2	A
Unexplained vaginal bleeding (suspicious for serious condition), before evaluation	2		2		2		2		3		3		—	I	C	I	C	D
														4	2	4	2
Endometriosis	1		1		1		1		1		1		—	2		1		S
Benign ovarian tumors (including cysts)	1		1		1		1		1		1		—	1		1		A
Severe dysmenorrhea	1		1		1		1		1		1		—	2		1		A
Trophoblast disease
ß-hCG regression	1		1		1		1		1		1		—	3		3		A
ß-hCG elevationg	1		1		1		1		1		1		—	4		4		D
Cervical ectropion	1		1		1		1		1		1		—	1		1		A
Cervical intraepithelial neoplasia (CIN)	2		2		2		1		2		2		—	1		2		A
Cervical cancer (awaiting treatment)	2		2		2		1		2		2		—	I	C	I	C	D
														4	2	4	2
Breast disease
Undiagnosed mass	2		2		2		2		2		2		—	1		2		A
Benign breast disease	1		1		1		1		1		1		—	1		1		A
Family history of cancer	1		1		1		1		1		1		—	1		1		A
Breast cancer
Currentg	4		4		4		4		4		4		—	1		4		C
Past, no evidence of disease for at least 5 years	3		3		3		3		3		3		—	1		3		A
Endometrial cancerg	1		1		1		1		1		1		—	I	C	I	C	D
														4	2	4	2
Ovarian cancerg	1		1		1		1		1		1		—	3	2	3	2	D
Uterine fibroids
Without distortion of the uterine cavity	1		1		1		1		1		1		—	1		1		C
With distortion of the uterine cavity	1		1		1		1		1		1		—	4		4		C
Anatomical abnormalities
Distorted uterine cavity	—		—		—		—		—		—		—	4		4		—
Other abnormalities not distorting the uterine cavity or interfering with IUD insertion (including cervical stenosis or lacerations)	—		—		—		—		—		—		—	2		2		—
Pelvic inflammatory disease (PID)
Past PID (assuming no current risk factors for STIs)														I	C	I	C
With subsequent pregnancy	1		1		1		1		1		1		—	1	1	1	1	A
Without subsequent pregnancy	1		1		1		1		1		1		—	2	2	2	2	C
Current PID	1		1		1		1		1		1		—	4	2m	4	2m	D
Sexually transmitted infections (STIs)g														I	C	I	C
Current purulent cervicitis, chlamydia, or gonorrhea	1		1		1		1		1		1		—	4	2	4	2	D
Other STIs (excluding HIV and hepatitis)	1		1		1		1		1		1		—	2	2	2	2	A
Vaginitis (including trichomonas vaginalis and bacterial vaginosis)	1		1		1		1		1		1		—	2	2	2	2	A
Increased risk of STIs	1		1		1		1		1		1		—	2/3n	2	2/3n	2	A

^m Treat PID using appropriate antibiotics. There is usually no need to remove the IUD if the client wishes to continue use.

ⁿ The condition is category 3 if a woman has a very high individual likelihood of exposure to gonorrhea or chlamydia.

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