The concern with CICs is less than that with COCs because the first-pass effect on the liver is eliminated. Women with any type of congenital uterine anomaly should not use IUDs. Women with a history of depression, especially if severe or recurrent, should use these methods with caution. If a women thinks depression has worsened while using COCs, CICs or POCs, help her choose another method. For women with a history of severe or recurrent episodes of depression, a trial of POPs may be preferable before giving implants or PICs because these methods cannot be stopped easily.
Most appropriate methods are boldfaced.
They should use a backup method while taking griseofulvin and until the start of the next menstrual period after stopping the antibiotic. 4 Definitions of heavy smoking vary internationally. All rights reserved.