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Bibliographic Info

GuidelineConsolidated guideline on sexual and reproductive health and rights of women living with HIV
Year of Publication2017
Issuing InstitutionWHO

Recommendation

Status
Updated

Recommended in favor

Conditional

Women living with severe or advanced HIV clinical disease (WHO stage 3 or 4) can use the following hormonal contraceptive methods without restriction: COCs, CICs, contraceptive patches and rings, POPs, POIs (DMPA and NETEN), and LNG and ETG implants (MEC Category 1). Women living with severe or advanced HIV clinical disease (WHO stage 3 or 4) should generally not initiate use of the LNG-IUD (MEC Category 3 for initiation) until their illness has improved to asymptomatic or mild HIV clinical disease (WHO stage 1 or 2). However, women who already have an LNG-IUD inserted and who develop severe or advanced HIV clinical disease need not have their IUD removed (MEC Category 2 for continuation). LNG-intrauterine device users with severe or advanced HIV clinical disease should be closely monitored for pelvic infection (Part I, section 12c).

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