Condition	Methods to avoid
Anatomic abnormalities with distortion of the uterine cavity	IUD
Breast cancer	All hormonal contraceptives
Breastfeeding in women less than 6 weeks postpartum	Combined oral contraceptives, Ortho Evra (norelgestromin/ethinyl estradiol contraceptive patch), Nuvaring (ethinyl estradiol/etonogestrel vaginal ring)
Cardiovascular disease risk factors (multiple)	Combined oral contraceptives, Ortho Evra, Nuvaring*
Cervical cancer (untreated)	Initiation of IUD (may continue if already placed)
Chlamydia, gonorrhea, or current purulent cervicitis	Initiation of IUD (may continue if already placed)
Cirrhosis (severe)	Combined oral contraceptives, Ortho Evra, Nuvaring
Deep venous thrombosis (current or previous)	Combined oral contraceptives, Ortho Evra, Nuvaring
Diabetes mellitus with nephropathy, retinopathy, neuropathy, or other vascular disease; or diabetes of more than 20 years' duration	Combined oral contraceptives, Ortho Evra, Nuvaring
Endometrial cancer	Initiation of IUD (may continue if already placed)
Gestational trophoblastic disease (malignant or with persistent elevated human chorionic gonadotropin levels)	IUD
Hepatocellular adenoma	Combined oral contraceptives, Ortho Evra, Nuvaring
Hepatocellular carcinoma	Combined oral contraceptives, Ortho Evra, Nuvaring
Hypertension with systolic blood pressure > 160 mm Hg or diastolic blood pressure > 100 mm Hg	Combined oral contraceptives, Ortho Evra, Nuvaring
Ischemic heart disease (current or previous)	Combined oral contraceptives, Ortho Evra, Nuvaring
Leiomyomas with distortion of the uterine cavity	IUD
Major surgery with prolonged immobilization	Combined oral contraceptives, Ortho Evra, Nuvaring
Migraine with aura	Combined oral contraceptives, Ortho Evra, Nuvaring
Migraine without aura (in women older than 35 years)	Ortho Evra, Nuvaring, initiation of combined oral contraceptives (may continue combined oral contraceptives if already in use and if other methods are unavailable)
Pelvic inflammatory disease	Initiation of IUD (may continue if already placed)†
Postpartum sepsis	IUD
Septic abortion (immediately following)	IUD
Smoking more than 15 cigarettes per day (in women older than 35 years)	Combined oral contraceptives, Ortho Evra, Nuvaring
Stroke history	Combined oral contraceptives, Ortho Evra, Nuvaring
Systemic lupus erythematosus with positive or unknown antiphospholipid antibodies	Combined oral contraceptives, Ortho Evra, Nuvaring
Thrombotic mutations (factor V Leiden; prothrombin mutation; protein C, protein S, or antithrombin deficiencies)	Combined oral contraceptives, Ortho Evra, Nuvaring
Tuberculosis with pelvic involvement	Initiation of IUD (may continue if already placed)
Unexplained vaginal bleeding before evaluation	IUD
Valvular heart disease complicated by pulmonary hypertension, risk of atrial fibrillation, or history of bacterial endocarditis	Combined oral contraceptives, Ortho Evra, Nuvaring
Vascular disease	Combined oral contraceptives, Ortho Evra, Nuvaring
Viral hepatitis (acute or flare)	Initiation of combined oral contraceptives, Ortho Evra, or Nuvaring (may continue if method is already in use, and may initiate method if condition is not severe)