Appendix B: Choice of method for different groups of women

Appendix B: Choice of method for different groups of women

All LARC methods are suitable for:

  • nulliparous women

  • women who are breastfeeding

  • women who have had an abortion – at time of abortion or later

  • women with BMI > 30

  • women with HIV – encourage safer sex Note 2013: for sub‑dermal implants, see section 1.5

  • women with diabetes

  • women with migraine with or without aura – all progestogen‑only methods may be used

  • women with contraindication to oestrogen

Choices for adolescents

  • IUD, IUS, implants: no specific restrictions to use

  • DMPA: care needed; only use if other methods unacceptable or not suitable[6]

Choices for women more than 40 years old

  • IUD, IUS, implants: no specific restrictions to use

  • DMPA: care needed, but generally benefits outweigh risks[6]

Choices for women post‑partum, including breastfeeding

  • IUD, IUS: can be inserted from 4 weeks after childbirth

  • DMPA, implants: any time after childbirth

Choices for women taking other medication

  • IUS, DMPA: no evidence that effectiveness of other medication reduced.

  • Implants: not recommended for women taking enzyme‑inducing drugs

Choices for women with epilepsy

  • IUD, IUS, DMPA: no specific contraindications; DMPA use may be associated with reduced seizure frequency

  • Implants: not recommended for women taking enzyme‑inducing drugs

Choices for women at risk for STI

  • IUD, IUS: tests may be needed before insertion

  • DMPA, implants: no specific contraindications
    Provide advice on safer sex.

ISBN: 978-1-4731-0719-9



[6] Refer to CSM advice issued in November 2004. Search for Depo Provera.