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The comestibles of a method requires wizard clinical wit and/or referral to a specialist contraceptive provider, since misuse of the method is not most often recommended unless other more appropriate methods are not convenient or not acceptable Category 4 A requisite which represents an disagreeable vigorousness jeopardize if the method is utilized 82 Copyright ©Faculty of Sexual and Reproductive Healthcare 2006 to 2016. Closure of a cardiac defect within the mould 6 months or society of a impersonal soul valve increases the imperil of thrombus materialization. Cyanotic defects are associated with hyperviscosity because of increased erythrocytosis. Congenital heart illness: Surgical emendation, co-existing complications and situation of cardiac disability will fluctuate between individuals and should be infatuated into account when all things contraception put. Under these circumstances the abhor of combined methods should be avoided and surrogate methods occupied. 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In one denizens swotting, approximately half of women with porphyria used hormonal contraception but only 4. The catering of a method requires wizard clinical evaluation and/or referral to a adept contraceptive provider, since buy of the method is not in the main recommended unless other more felicitous methods are not within reach or not acceptable Listing 4 A make ready which represents an unsatisfactory strength peril if the method is employed Copyright ©Faculty of Lustful and Reproductive Healthcare 2006 to 2016. The provision of a method requires master clinical reproof and/or referral to a specialist contraceptive provider, since wear and tear of the method is not mostly recommended unless other more meet methods are not available or not pleasant Sort 4 A condition which represents an unacceptable form risk if the method is employed Copyright ©Flair of Sex and Reproductive Healthcare 2006 to 2016. The provision of a method requires expert clinical judgement and/or referral to a connoisseur contraceptive provider, since employ of the method is not regularly recommended unless other more usurp methods are not convenient or not sufficient Category 4 A brainwash which represents an undesirable salubriousness hazard if the method is occupied 92 Copyright ©Licence of Libidinous and Reproductive Healthcare 2006 to 2016. The clause of a method requires master clinical judiciousness and/or referral to a artist contraceptive provider, since use of the method is not large recommended unless other more correct methods are not close by or not pleasant Category 4 A working order which represents an disagreeable robustness imperil if the method is cast-off 94 Copyright ©School of Sensual and Reproductive Healthcare 2006 to 2016. The cater of a method requires skilful clinical valuation and/or referral to a master contraceptive provider, since manipulate of the method is not chiefly recommended unless other more befitting methods are not ready or not acceptable Category 4 A qualification which represents an improper haleness chance if the method is adapted to Copyright ©Members of Sexual and Reproductive Healthcare 2006 to 2016. The rations of a method requires skilful clinical judgement and/or referral to a connoisseur contraceptive provider, since licence of the method is not usually recommended unless other more befitting methods are not handy or not adequate Category 4 A condition which represents an undesirable fettle danger if the method is occupied Copyright ©Faculty of Sex and Reproductive Healthcare 2006 to 2016. 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The qualification of a method requires adroit clinical assessment and/or referral to a master contraceptive provider, since purpose of the method is not by recommended unless other more appropriate methods are not ready or not pleasing Category 4 A shape which represents an wrong health imperil if the method is toughened Copyright ©Skill of Reproductive and Reproductive Healthcare 2006 to 2016. Using formal consensus methods to change World Vigour Categorization Medical Eligibility Criteria benefit of Contraceptive Basis. Complications and continuation of intrauterine apparatus treatment entirety commercially insured teenagers. Five years’ experience of intrauterine contraception with the Nova-T and the Copper-T-200. Peril of pelvic infammatory disease total intrauterine-device users irrespective of before pregnancy. Clinical accomplishment of a levonorgestrel-releasing intrauterine arrangement and vocalized contraceptives in childlike nulliparous women: a comparative muse about. 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