Using Clinical Judgment in Special Cases

Usually, a woman with any of the conditions listed below should not use implants. In special circumstances, however, when other, more appropriate methods are not available or acceptable to her, a qualified provider who can carefully assess a specific woman's condition and situation may decide that she can use implants. The provider needs to consider the severity of her condition and, for most conditions, whether she will have access to follow-up.

• Breastfeeding and less than 6 weeks since giving birth (considering the risks of another pregnancy and that a woman may have limited further access to implants)
• Acute blood clot in deep veins of legs or lungs
• Unexplained vaginal bleeding before evaluation for possible serious underlying condition
• Had breast cancer more than 5 years ago, and it has not returned
• Severe liver disease, infection, or tumor
• Systemic lupus erythematosus with positive (or unknown) antiphospholipid antibodies