UKMEC Contraception
Use UKMEC to choose appropriate contraception.
Copper-bearing intrauterine device
UKMEC 3
Postpartum (in breastfeeding or nonbreastfeeding women, including postcaesarean section)
- 48 hours to <4 weeks
Organ transplant
- Complicated: graft failure (acute or chronic), rejection, cardiac allograft vasculopathy
Cardiac arrhythmias
- Known long QT syndrome
Gestational trophoblastic disease (GTD)
- Decreasing hCG levels
Cervical cancer
- Radical trachelectomy
Uterine fibroids
- With distortion of the uterine cavity
Anatomical abnormalities
- Distorted uterine cavity
Sexually transmitted infections (STIs)
- Chlamydial infection (current) - Asymptomatic
- HIV infected - CD4 count <200 cells/mm3
UKMEC 4
Postpartum (in breastfeeding or nonbreastfeeding women, including postcaesarean section)
- Postpartum sepsis
Post-abortion
- Post-abortion sepsis
Breast and Reproductive Tract Conditions
- Unexplained vaginal bleeding (suspicious for serious condition) before evaluation
- Endometrial cancer
Gestational trophoblastic disease (GTD)
- Persistently elevated hCG levels or malignant disease
Cervical cancer
- Awaiting treatment
Pelvic inflammatory disease (PID)
- Current PID
Sexually transmitted infections (STIs)
- Chlamydial infection (current) - Symptomatic
- Purulent cervicitis or gonorrhoea (current)
Other Infections
- Tuberculosis - Pelvic