Contraception in High Risk Women
Valvular and Congenital Heart Disease
- Uncomplicated : UKMEC 1 for both Copper & LNG – IUCD
- Complicated, : ( eg pulmonary hypertension, history of subacute bacterial endocarditis) :UKMEC 2 for both Coppper & LNG-IUCD
Uncomplicated cases are when:
- No requirement for cardiac medication
- Woman is asymptomatic
- Cardiology review required annually or less
If in doubt, discuss with cardiologist
Prophylaxis against bacterial endocarditis is no longer indicated for women with Artificial Heart valves or previous endocarditis when inserting or removing IUCD.
However, this does not necessarily mean that there is no risk.
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