According to the WHO Medical Eligibility Criteria for contraceptive use, Category 4 indicates that:
- A The method can be used with careful follow-up
- B The advantages generally outweigh the risks
- C The condition represents an unacceptable health risk if the method is used ✓
- D The method should be initiated but discontinued if complications arise
Correct answer: C. The condition represents an unacceptable health risk if the method is used
Explanation
Category 4 means the method must not be used because the condition poses an unacceptable health risk; examples include current breast cancer with any hormonal method and severe decompensated cirrhosis with combined pills. Category 3 means risks usually outweigh advantages, requiring expert judgement. Categories 1 and 2 permit use, with Category 2 allowing use with reasonable caution and follow-up.
Reference: WHO Medical Eligibility Criteria for Contraceptive Use, 5th edition ed.
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Written and medically reviewed by the StethoPrep medical team.