GASTROINTESTINAL CONDITIONS

_

  = 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

Combined oral contraceptives Monthly injectables Combined patch and combined vaginal ring Progestin-only pills Progestin-only injectables Implants Emergency contraceptive pills* Copper-bearing intrauterine device Levonorgestrel intrauterine device Female sterilization*
GASTROINTESTINAL CONDITIONS
Gall bladder disease  
Symptomatic  
Treated by cholecystectomy 2 2 2 2 2 2 1 2 A
Medically treated 3 2 3 2 2 2 1 2 A
Current 3 2 3 2 2 2 1 2 D
Asymptomatic 2 2 2 2 2 2 1 2 A
History of cholestasis  
Pregnancy-related 2 2 2 1 1 1 1 1 A
Past combined oral contraceptives-related 3 2 3 2 2 2 1 2 A
 
Viral hepatitis  
      I C I C I C              
Acute or Flare 3/4rs 2 3 2 3/4rs 2 1 1 1 2 1 1 D
Carrier  1  1  1  1  1 — 
Chronic 1 1 1 1 1 1 1 1 A
Cirrhosis  
Mild (compensated) 1 1 1 1 1 1 1 1 A
Severe (decompensated)g 4 3 4 3 3 3 1 3 St
Liver tumors  
Focal nodular hyperplasia 2 2 2 2 2 2 1 2 A
Hepatocellular adenoma 4 3 4 3 3 3 1 3 Ct
Malignant (hepatoma)g 4 3/4 4 3 3 3 1 3 Ct

s In women with symptomatic viral hepatitis, withhold these methods until liver function returns to normal or 3 months after she becomes asymptomatic, whichever is earlier.

tLiver function should be evaluated.

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