Suitable forms of contraception for diabetic women

Low-dose oral contraceptives can be used by a great number of women with ID DM or a previous gestational diabetes mellitus. Others hormonal contracepti ves (progestogen-only preparations) are less convenient and the compliance is poor with an increasing risk of gynaecologic side effects. The safety of this contraceptives as regards vascular diabetic complications is not eval uated well. Nulliparous patients with progressive complications can use barrier methods of contraception after education. Macroprogestative contraception is a ade quate choice for women within forties. For multiparous diabetic women, intr a-uterine devices represent the first choice.