Transcription of Summary Chart of U.S. Medical Eligibility Criteria for …
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Summary Chart of U.S. Medical Eligibility Criteria for …
ConditionSub-ConditionCu-IUDLNG-IUDI mplantDMPAPOPCHCICICICICICICD iabetesa) History of gestational disease111111b) Nonvascular diseasei) Non-insulin dependent122222ii) Insulin dependent122222c) Nephropathy/retinopathy/neuropathy 12232 3/4*d) Other vascular disease or diabetes of >20 years duration 12232 3/4*DysmenorrheaSevere211111 Endometrial cancer 42421111 Endometrial hyperplasia111111 Endometriosis211111 Epilepsy (see also Drug Interactions)11 1* 1* 1* 1*Gallbladder diseasea) Symptomatici) Treated by cholecystectomy122222ii) Medically treated122223iii) Current122223b) Asymptomatic122222 Gestational trophoblastic disease a) Suspected GTD (immediate postevacuation)i) Uterine size first trimester 1* 1* 1* 1* 1* 1*ii) Uterine size second trimester 2* 2* 1* 1* 1* 1*b
Stroke‡ History of cerebrovascular accident 1 2 2 3 32 4 Superficial venous disorders a) Varicose veins 1 1 1 1 1 1 b) Superficial venous thrombosis (acute or history) 1 3* Systemic lupus erythematosus‡ a) Positive (or unknown) antiphospholipid antibodies 1* 1* 3* 3* 3* 3* 3* 4* b) Severe thrombocytopenia 3* 2* 2* 2* 3* 2* 2* 2*
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