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

  • Between 48 hours and 4 weeks since giving birth

  • Acute blood clot in deep veins of legs or lungs

  • Had breast cancer more than 5 years ago, and it has not returned

  • Severe cirrhosis or severe liver tumor

  • Noncancerous (benign) gestational trophoblast disease

  • Has current ovarian cancer

  • Is at very high individual risk for STIs at the time of insertion y Has severe or advanced HIV clinical disease

  • Has systemic lupus erythematosus with positive (or unknown) antiphospholipid antibodies and is not receiving immunosuppressive treatment