1. Quick update on contraceptionBy
Miss Rahat Khan
Consultant Obstetrician and Gynaecologist

2. UK Medical Eligibility Criteria 2016 table for categories

3. UK Medical Eligibility criteria Changes published by Faculty of Sexual and Reproductive Healthcare
No split categories
Lay out of summary prioritises Long acting reversible contraceptives (LARCS)
Conditions added and removed
Added
Removed
Bariatric surgery
Schistosomiasis (WHOMEC)
cardiomyopathy
Malaria (WHOMEC)
Post-transplant
Raynaud’s phenomenon (risk relates to underlying disease)
Cardiac arrhythmias
Drug interactions (refer to data resources)
Rheumatoid arthritis
Barrier methods, fertility awareness and sterilisation removed (use FSRH methd –specific guidelines)
Positive antiphospholipid antibodies

4. UKMEC 2016- changes Postpartum
- Fully/near fully breastfeeding from 6/52 to 6/12 goes from 3 to 2 for CHC
-Fitting of an IUCD or IUS within 48 hours now category 1
Bariatric surgery
-All methods category 1 with regard to the surgery itself
- Normal BMI limits apply for CHC
Transplant surgery
- Uncomplicated= category 2
- Complicated=CHC and insertion of IUCD category 3
CVS risk factors and CHC
- Dyslipidaemia changes from 2/3 to 2
- Multple risk factors for CVS changes from 3/4 to 3
- Smokers over 35 unchanged
> 15 = 4
<15 /within 1 year of stopping= 3
Stopped for more than a year= 2

5. UKMEC update –March 2017
Change of UKMEC category for use of progestogen-only injectable contraception by women at high risk of HIV infection from UKMEC 1 to UKMEC 2.
The WHO GDG concluded that overall the available evidence (13 observational studies) continues to indicate an association between use of progestogen-only injectable contraceptives and an increased risk of acquiring HIV, amongst women at high risk.

6. REFERENCES FSRH contraception after pregnancy January 2017
FSRH UKMEC for contraceptive use July 2016
THANK YOU