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IMAP statement on contraception for women with medical disorders.


 Health care and family planning providers who counsel women with medical disorders about contraception must weight the method's possible health risks against the risks of an unintended pregnancy. If pregnancy would pose a severe health risk or the couple desires no more children, sterilization should be considered. Barrier methods have the advantage of not complicating underlying medical conditions, but may not prevent pregnancy if used improperly. Hormonal contraception has the potential to exacerbate some diseases and can interact with other medications. On the other hand, low-dose combined oral contraceptives offer, in some instances, noncontraceptive beneficial effects. Specific medical conditions discussed in this report include cardiovascular diseases, diabetes, convulsive disorders, migraine, tuberculosis, liver disease, malignant diseases, anemia, sickle-cell disease, psychiatric conditions, and human immunodeficiency virus infection.
