CHAPTER 24 - Family Planning Provision

The classifications below of examinations and tests apply to people who are presumed to be healthy. For a person with a known medical condition or other special condition, refer to the Medical Eligibility Criteria for Contraceptive Use.

Specific situation

Class A: Essential and mandatory in all circumstances for safe and effective use of the contraceptive method.

Class B: Contributes substantially to safe and effective use. If the test or examination cannot be done, however, the risk of not performing it should be weighed against the benefits of making the contraceptive method available.

Class C: Does not contribute substantially to safe and effective use of the contraceptive method.

  Combined Oral Contraceptives Monthly Injectables Progestin-only Pills Progestin-only Injectables Implants IUDs Male and Female Condoms Diaphragms and Cervical Caps Spermicides Female Sterilization Vasectomy

Breast examination by provider

C C C C C C C C C C NA

Pelvic/genital examination

C C C C C A C A C A A

Cervical cancer screening

C C C C C C C C C C NA

Routine laboratory tests

C C C C C C C C C C C

Hemoglobin test

C C C C C B C C C B C

STI risk assessment: medical history and physical examination

C C C C C A* C C C C C

STI/HIV screening: laboratory tests

C C C C C B* C C C C C

Blood pressure screening

C C C C A C§

*If a woman has a very high individual likelihood of exposure to gonorrhea or chlamydia, she generally should not have an IUD inserted unless other methods are not available or not acceptable. If she has current purulent cervicitis, gonorrhea, or chlamydia, she should not have an IUD inserted until these conditions are resolved and she is otherwise medically eligible.

†Women at high risk of HIV infection or AIDS should not use spermicides. Using diaphragms and cervical caps with spermicide is not usually recommended for such women unless other more appropriate methods are not available or acceptable.

NA=Not applicable

‡Desirable, but in settings where the risks of pregnancy are high, and hormonal methods are among the few methods widely available, women should not be denied use of hormonal methods solely because their blood pressure cannot be measured.

§For procedures performed using only local anesthesia.

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