current C past and no evidence of A current disease for 5 years ENDOMETRIAL CANCER* D OVARIAN CANCER* D UTERINE FIBROIDS* Without distortion of the C uterine cavity With distortion of the C uterine cavity PELVIC INFLAMMATORY DISEASE (PID)* Past PID (assuming no Clarification: A careful pelvic examination current risk factors for STIs) must be performed to rule out recurrent or persistent infection and to determine the with subsequent A mobility of the uterus. pregnancy without subsequent C pregnancy PID—current D CONDITION CATEGORYa CLARIFICATIONS/EVIDENCE * additional comments after A = accept, this table C = caution, D = delay, S = special REPRODUCTIVE TRACT INFECTIONS AND DISORDERS (cont.) STIS* Current purulent cervicitis D Clarification: If no symptoms persist or chlamydial infection or following treatment, sterilization may be gonorrhea performed. Other STIs (excluding HIV A and hepatitis) Vaginitis (including A Trichomonas vaginalis and bacterial vaginosis)
current past and no evidence of current disease for 5 years C A ENDOMETRIAL CANCER* D OVARIAN CANCER* D UTERINE FIBROIDS* Without distortion of the uterine cavity With distortion of the uterine cavity C C PELVIC INFLAMMATORY DISEASE (PID)* Past PID (assuming no current risk factors for STIs) with subsequent pregnancy without subsequent pregnancy PID—current A C D Clarification: A careful pelvic examination must be performed to rule out recurrent or persistent infection and to determine the mobility of the uterus. CONDITION * additional comments after this table CATEGORYa A = accept, C = caution, D = delay, S = special CLARIFICATIONS/EVIDENCE REPRODUCTIVE TRACT INFECTIONS AND DISORDERS (cont.) STIS* Current purulent cervicitis or chlamydial infection or gonorrhea Other STIs (excluding HIV and hepatitis) Vaginitis (including Trichomonas vaginalis and bacterial vaginosis) D A A Clarification: If no symptoms persist following treatment, sterilization may be performed.
trp-en-tubal-ligation-handout3.docx