Table 1

Proposed contraception for patients following bariatric surgery

Bariatric procedureCOCsPOPsDMPA or NET-ENProgestogen-only implantCu-IUDLNG-IUSCombined hormonal patch, vaginal ring
Gastric bypass3322113
Gastric sleeve2222112
Gastric banding2222112
  • Definition of categories is based on UK Medical Eligibility Criteria for Contraceptive Use (UKMEC)23 as follows:

  • 1 A condition for which there is no restriction for the use of the contraceptive method.

  • 2 A condition where the advantages of using the method generally outweigh the theoretical or proven risks.

  • 3 A condition where the theoretical or proven risks usually outweigh the advantages of using the method. The provision of a method requires expert clinical judgement and/or referral to a specialist contraceptive provider, since use of the method is not usually recommended unless other more appropriate methods are not available or not acceptable.

  • 4 A condition which represents an unacceptable health risk if the contraceptive method is used.

  • COCs, combined oral contraceptives; Cu-IUD, copper-containing intrauterine device; DMPA; depot medroxyprogesterone acetate; LNG-IUS, levonorgestrel-releasing intrauterine system; NET-EN, norethisterone enantate; POPs, progestogen-only pills.