UKMEC Flashcards
CHC in breastfeeding 0-<6 weeks PP
4
CHC in breastfeeding 6w-6months PP
2
DMPA in breastfeeding 0-6w PP
2
CHC 0-3 weeks PP no breastfeeding VTE risk factors
4
CHC 0-3 weeks PP no breastfeeding no VTE risk factors
3
DMPA 0-3 weeks PP no breastfeeding VTE risk factors
2
DMPA 0-3 weeks PP no breastfeeding No VTE risk factors
2
CHC 3-6 weeks PP no breastfeeding VTE risk factors
3
CHC 3-6 weeks PP no breastfeeding no VTE risk factors
2
DMPA 3-6 weeks PP no breastfeeding VTE risk factors
2
DMPA 3-6 weeks PP no breastfeeding no VTE risk factors
1
IUCD 0-48 HRS PP
1
IUCD 48 hrs - 4 weeks PP
3
IUCD 4 weeks+ PP
1
IUCD pp sepsis
4
CHC Bariatric surgery BMI <30
1
CHC Bariatric surgery BMI 30 -34
2
CHC Bariatric surgery BMI >35
3
DMPA Bariatric surgery BMI >35
1
IUCD Organ transplant complicated (graft failure, rejection etc)
Initiate 3
Continue 2
POP Organ transplant complicated (graft failure, rejection etc)
2
DMPA Organ transplant complicated (graft failure, rejection etc)
2
CHC Organ transplant complicated (graft failure, rejection etc)
3
CHC Organ transplant uncomplicated
2
IUCD Organ transplant uncomplicated
2
DMPA organ transplant uncomplicated
2
IUS cardiovascular disease multiple risk factors
2
IUD cardiovascular disease multiple risk factors
1
DMPA cardiovascular disease multiple risk factors
3
POP cardiovascular disease multiple risk factors
2
CHC cardiovascular disease multiple risk factors
3
IUD Cardiomyopathy with normal cardiac function
1
IUS Cardiomyopathy with normal cardiac function
1
DMPA Cardiomyopathy with normal cardiac function
1
CHC Cardiomyopathy with normal cardiac function
2
CHC Cardiomyopathy with impaired cardiac function
4
DMPA cardiomyopathy with impaired cardiac function
2
IUD cardiomyopathy with impaired cardiac function
2
IUS cardiomyopathy with impaired cardiac function
2
CHC Atrial fibrillation
4
DMPA Atrial fibrillation
2
IUS Atrial fibrillation
2
IUD Atrial fibrillation
1
CHC known long QT
2
POP known long QT
1
DMPA known long QT
2
IUCD known long QT
Initiate 3
Continue 1
CHC idiopathic intercranial hypertension
2
DMPA idiopathic intercranial hypertension
1
Implant idiopathic intercranial hypertension
1
IUCD idiopathic intercranial hypertension
1
CHC anti epileptic drugs
1 (but may interact!)
CHC GTD decreasing hCG
1
DMPA GTD decreasing hCG
1
Implant GTD decreasing hCG
1
IUCD GTD decreasing hCG
3
CHC GTD undetectable hCG
1
DMPA undetectable hCG
1
IUCD undetectable hCG
1
IUCD persistently elevated hCG/malignancy
4
CHC persistently elevated hCG/malignancy
1
DMPA persistently elevated hCG/malignancy
1
POP persistently elevated hCG/malignancy
1
CHC cervical cancer awaiting treatment
2
IUCD cervical cancer awaiting treatment
Initiate 4
Continue 2
Implant cervical cancer awaiting treatment
2
DMPA cervical cancer awaiting treatment
2
POP cervical cancer awaiting treatment
1
IUCD cervical cancer radical trachelectomy
3
Implant cervical cancer radical trachelectomy
2
DMPA cervical cancer radical trachelectomy
2
POP cervical cancer radical trachelectomy
1
CHC cervical cancer radical trachelectomy
2
IUD Undiagnosed breast mass/symptoms
1
Implant Undiagnosed breast mass/symptoms
2
DMPA Undiagnosed breast mass/symptoms
2
IUS Undiagnosed breast mass/symptoms
2
POP Undiagnosed breast mass/symptoms
2
CHC Undiagnosed breast mass/symptoms
Initiate 3
Continue 2
IUS benign breast conditions
1
IUD benign breast conditions
1
POP benign breast conditions
1
CHC benign breast conditions
1
IUD family history of breast cancer
1
IUS family history of breast cancer
1
Implant family history of breast cancer
1
POP family history of breast cancer
1
CHC family history of breast cancer
1
IUS carriers of breast cancer gene mutations (eg BRCA 1/2)
2
IUD carriers of breast cancer gene mutations (eg BRCA 1/2)
1
Implant carriers of breast cancer gene mutations (eg BRCA 1/2)
2
DMPA carriers of breast cancer gene mutations (eg BRCA 1/2)
2
POP carriers of breast cancer gene mutations (eg BRCA 1/2)
2
CHC carriers of breast cancer gene mutations (eg BRCA 1/2)
3
IUD current breast cancer
1
IUS current breast cancer
4
Implant current breast cancer
4
DMPA current breast cancer
4
POP current breast cancer
4
CHC current breast cancer
4
IUD past breast cancer
1
IUS past breast cancer
3
Implant past breast cancer
3
DMPA past breast cancer
3
POP past breast cancer
3
CHC past breast cancer
3
IUS ovarian cancer
1
IUD ovarian cancer
1
Implant ovarian cancer
1
CHC ovarian cancer
1
IUCD CT infection asymptomatic
Initiate 3
Continue 2
IUCD CT infection symptomatic
Initiate 4
Continue 2
POP CT infection asymptomatic
1
CHC CT infection symptomatic
1
IUCD purulent cervicitis/GC
Initiate 4
Continue 2
Implant purulent cervicitis/GC
1
IUCD STIs (excluding CT, GC, HIV, Hep)
2
DMPA STIs (excluding CT, GC, HIV, Hep)
1
IUCD vaginitis (Inc BV and TV)
2
CHC vaginitis (Inc BV and TV)
1
IUCD Increased STI risk
2
IUCD High risk HIV infection
1
CHC high risk for HIV
1
IUCD HIV infection CD4 count >200
2
POP HIV infection CD4 count <200
1
IUCD HIV infection CD4 count <200
Initiate 3
Continue 2
IUCD history of gestational diabetes
1
DMPA history of gestational diabetes
1
CHC history of gestational diabetes
1
IUD non insulin dependent diabetes
1
IUS non insulin dependent diabetes
2
Implant non insulin dependent diabetes
2
POP non insulin dependent diabetes
2
CHC non insulin dependent diabetes
2
IUD insulin-dependant diabetes
1
IUS insulin-dependant diabetes
2
Implant insulin-dependant diabetes
2
DMPA insulin-dependant diabetes
2
CHC insulin-dependant diabetes
2
IUD diabetes with nephropathy/ retinopathy/neuropathy
1
IUS diabetes with nephropathy/ retinopathy/neuropathy
2
Implant diabetes with nephropathy/ retinopathy/neuropathy
2
DMPA diabetes with nephropathy/ retinopathy/neuropathy
2
POP diabetes with nephropathy/ retinopathy/neuropathy
2
CHC diabetes with nephropathy/ retinopathy/neuropathy
3
IUD diabetes and other vascular disease
1
IUS diabetes and other vascular disease
2
Implant diabetes and other vascular disease
2
DMPA diabetes and other vascular disease
2
POP diabetes and other vascular disease
2
CHC diabetes and other vascular disease
3
IUS acute/flare viral hepatitis
1
IUD acute/flare viral hepatitis
1
Implant acute/flare viral hepatitis
1
DMPA acute/flare viral hepatitis
1
POP acute/flare viral hepatitis
1
CHC acute/flare viral hepatitis
Initiate 3
Continue 2
IUCD carrier/chronic hepatitis
1
Implant carrier/chronic hepatitis
1
DMPA carrier/chronic hepatitis
1
POP carrier/chronic hepatitis
1
CHC carrier/chronic hepatitis
1
IUD rheumatoid arthritis
1
IUS rheumatoid arthritis
2
POP rheumatoid arthritis
2
Implant rheumatoid arthritis
2
DMPA rheumatoid arthritis
2
CHC rheumatoid arthritis
2
IUD SLE no anti phospholipid antibodies
1
IUS SLE no anti phospholipid antibodies
2
Implant SLE no anti phospholipid antibodies
2
DMPA SLE no anti phospholipid antibodies
2
POP SLE no anti phospholipid antibodies
2
CHC SLE no anti phospholipid antibodies
2
IUD positive anti phospholipid antibodies +/- lupus
1
IUS positive anti phospholipid antibodies +/- lupus
2
Implant positive anti phospholipid antibodies +/- lupus
2
DMPA positive anti phospholipid antibodies +/- lupus
2
POP positive anti phospholipid antibodies +/- lupus
2
CHC positive anti phospholipid antibodies +/- lupus
4
IUCD and age <20
2
IUCD prev ectopic
1
IUD and current/history of ischemic heart disease
1
IUS and current/history of ischemic heart disease
Initiate 2
Continue 3
IUD and stroke (Inc TIA)
1
IUS and stroke (Inc TIA)
Initiate 2
Continue 3
IUD hx VTE
1
IUS hx VTE
2
IUS Major surgery with prolonged immobilisation
2
IUCD Immobility unrelated to surgery
1
IUCD superficial venous thrombosis
1
IUS known thrombogenic mutation
2
IUCD uncomplicated congenital/valvular heart disease
1
IUCD complicated congenital/valvular heart diease (hx subacute bacterial endocarditis, pulmonary hypertension etc)
2
IUS migraine with aura
2
IUS migraine without aura
2
IUCD and epilepsy
1
IUD heavy/prolonged vaginal bleed
2
IUS heavy/prolonged vaginal bleed
Initiate 1
Continue 2
IUCD unexplained vaginal bleeding suspicious for malignancy
Initiate 4
Continue 2
IUS cervical intraepithelial neoplasia
2
IUD cervical intraepithelial neoplasia
1
IUD endometrial cancer
Initiate 4
Continue 2
IUS endometrial cancer
Initiate 4
Continue 2
IUCD and fibroids distorting the uterine cavity
3
(Can be fitted in specialist cases/after discussion)
IUCD and distorted uterine cavity
3
IUCD current PID
Initiate 4
Continue 2
IUD severe decompensated cirrhosis
1
IUS severe decompensated cirrhosis
3
IUD hepatocellular carcinoma (benign)
1
IUD hepatocellular carcinoma (malignant)
1
IUS focal nodular hyperplasia of the liver (benign)
2
IUS hepatocellular adenoma (benign)
3
IUS hepatocellular carcinoma
3
IUS IBD
1
IUD thalassemia
2
IUS thalassemia
1
IUD sickle cell disease
2
IUD sickle cell disease
2
IUS sickle cell disease
1
DMPA ukmec 2 age ranges
<20
>45
DMPA smoking >15 a day age over 35
1
DMPA and adequately controlled hypertension
2
DMPA with BP systolic 140-159 diastolic 90-99
1
DMPA systolic BP >160 diastolic>100
2
DMPA complicated valvular and congenital heart disease
1
POP migraine without aura
Initiate 1
Continue 2
Implant migraine with aura
2
DMPA migraine with aura
2
POP migraine with aura
2
DMPA Heavy or prolonged vaginal bleeding
2
Implant Unexplained vaginal bleeding
3
DMPA unexplained vaginal bleeding
3
POP unexplained vaginal bleeding
2
DMPA cervical intraepithelial neoplasia
2
POP cervical intraepithelial neoplasia
1
Implant cervical intraepithelial neoplasia
1
DMPA/POP/Implant and thyroid disorders
1
DMPA and current or past gallbladder disease
2
POP and current or past gallbladder disease
2
Implant and current or past gallbladder disease
2
POP/implant/DMPA and cholestasis from CHC
2
POP IBD
2
Implant IBD
1
DMPA IBD
1
DMPA and sickle cell
1
POP and sickle cell
1
CHC >40
2
CHC and smoking age <35
2
CHC and smoking age >35 <15 ciggies a day
3
CHC and smoking >35 >15 ciggies a day
4
CHC over 35 stopped smoking less than a year ago
3
CHC and stopped smoking over a year ago aged over 35
2
CHC and budd-chiari syndrome
4 (high thrombosis risk)
CHC adequately controlled hypertension
3
CHC BP systolic 140-159 diastolic 90-99
3
CHC BP >160/100
4
CHC and history of high BP in pregnancy
2
CHC and family history age <45 of VTE
3
CHC and family history of VTE age >45
2
CHC and major surgery with prolonged immobilisation
4
CHC and minor surgery without immobilisation
1
CHC and major surgery without prolonged immobilisation
2
CHC and immobility unrelated to surgery
3
CHC and superficial venous thrombosis
2
CHC and known thrombogenic mutations
4
CHC and uncomplicated valvular heart disease
2
CHC and complicated valvular or congenital heart disease
4
CHC non migrainous headaches
Initiate 1
Continue 2
CHC and migraine without aura
Initiate 2
Continue 3
CHC Migraine with aura
4
CHC Migraine with aura more than 5 years ago
3
CHC Unexplained vaginal bleeding
2
CHC and cervical intraepithelial neoplasia
2
CHC and pelvic tb
1
CHC and thyroid disorders
1
CHC and gallbladder disease treated by cholecystectomy
2
CHC and medically treated gallbladder disease
3
CHC and current symptomatic gallbladder disease
3
CHC and asymptomatic gallbladder disease
2
CHC and pregnancy cholestasis
2
CHC and CHC induced cholestasis
3
CHC and severe decompensated cirrhosis
4
CHC and mild/compensated cirrhosis
1
CHC and benign focal nodular hyperplasia
2
CHC and benign hepatocellular adenoma
4
CHC and malignant hepatocellular carcinoma
4
CHC and ibd
2
CHC and thalassemia
1
CHC and sickle cell
2
UPA and vte
2
EC-LNG and VTE
2
UPA and current breast cancer
2
EC-LNG and current breast cancer 2
Oral EC and IBD
2
Oral EC and severe liver disease (Inc jaundice)
1
