[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-515784-105":59,"doc-detail-515784-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","fsrh-ceu-statement-contraception-for-women-with-eating-disorders","FSRH CEU Statement - Contraception for Women with Eating Disorders","","FSRH CEU statement outlining contraception considerations for sexually active women of reproductive age who have eating disorders, where amenorrhoea and anovulation are common yet effective contraception remains essential. It highlights higher risks for adverse pregnancy outcomes in underweight women and recommends delaying conception until remission. Long-acting reversible contraception is identified as most effective, while evidence on bone protection with combined hormonal contraception is questioned in anorexia. The statement also reviews fertility, amenorrhoea as a recovery marker, and the limited evidence on women’s views of hormonal contraception.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/fsrh-ceu-statement-contraception-for-women-with-eating-disorders/515784/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/fsrh-ceu-statement-contraception-for-women-with-eating-disorders/515784.png","ImageObject",300,407,{"name":92,"@type":93},"kopisore","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-06",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why do women with eating disorders still need effective contraception?","Question",{"text":113,"@type":114},"They may experience amenorrhoea and anovulation, but ovulation and unintended pregnancy cannot be reliably predicted. Therefore, effective contraception is still required.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What should underweight women with an eating disorder be advised regarding pregnancy?",{"text":118,"@type":114},"They should be counselled about increased risk of adverse pregnancy outcomes when underweight and advised to delay conception until the condition is in remission.",{"name":120,"@type":111,"acceptedAnswer":121},"Which contraceptive methods are considered most effective for this population?",{"text":122,"@type":114},"Long-acting reversible contraception (LARC) methods remain the most effective options for women with eating disorders.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},515784,1791387235,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":46,"preview_page_count":4},962090880963,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","FSRH CEU Statement: Contraception for Women with Eating Disorders  \n15th June 2018 (updated 10th May 2021)  \nKey Points  \n Sexually active women of reproductive age with eating disorders require effective contraception despite the fact that amenorrhoea and anovulation are common in this population.  \n Women with an eating disorder who are underweight should be advised of the increased risk of adverse pregnancy outcomes when underweight and should be advised to delay conception until the condition is in remission.  \n Long-acting reversible contraception (LARC) methods remain the most effective methods of contraception in this population.  \n Although combined hormonal contraceptives are commonly used to provide bone protection, they have not been shown to protect bone mineral density in women with anorexia.  \nIntroduction  \nEating disorders are serious psychiatric conditions with physical, psychological and social consequences. Anorexia nervosa (anorexia) and bulimia nervosa (bulimia) are the most well known types, while binge eating disorder and other specified feeding or eating disorder (OSFED) are the most common. 1 All are characterised by distorted self body image and abnormal attitudes and behaviour toward eating. Anorexia involves deliberate dietary restriction leading to significantly low body weight and an intense fear of weight gain.2 Women with bulimia are often of normal or above normal weight and experience recurrent episodes of binge eating and compensatory behaviour in order to prevent weight gain, such as self-induced vomiting or misuse of laxatives.  \nWomen with eating disorders may present to sexual and reproductive health care services with amenorrhoea, or in the context of sexual risk taking or sexual abuse. Women with eating disorders may also present with fertility concerns or with an unplanned pregnancy. For those who conceive when they are underweight there is an increased risk during pregnancy of hyperemesis, anaemia, intrauterine growth restriction and preterm birth.3,4 Postponement of conception until the eating disorder is in remission is therefore recommended.  \nThe true prevalence of eating disorders is not known as available statistics relate to those receiving care and so do not reflect the unmet need in the community. Annual UK incidence rates have been estimated at around 63 per 100 000 women of all ages and are highest among 15–19 year olds.5 Clinicians in sexual and reproductive healthcare should be aware of the effect of eating disorders on a woman’s menstrual cycle, fertility and the safety and efficacy of different contraceptive methods.  \nThe purpose of this statement is to inform clinicians about issues relating to contraception for women who have eating disorders. This statement is based on a comprehensive review led by the FSRH CEU. Appendix 1 provides a table briefly outlining the advantages and disadvantages of contraceptive methods.  \nAmenorrhea and Fertility  \nWomen with eating disorders commonly have irregular menstrual cycles or amenorrhoea. However, they still require contraception and good preconception care as it is not possible to predict when ovulation and an unintended pregnancy may occur.  \nA 1998 case control study of 66 women in New Zealand who had been assessed or treated for anorexia a decade earlier found no significant difference in overall number of pregnancies per woman, rate of pregnancy, or age at first pregnancy compared with the 98 women without a history of anorexia.6 There were no differences between women with active anorexia versus anorexia in remission with respect to any of these measures. A 2010 large prospective cohort study in Norway (62,060 pregnant women, of which 62 met criteria for anorexia and 61,998 did not meet criteria for an eating disorder) found that women with anorexia were more likely to report that their pregnancy was unplanned (relative risk 2. 11, 95% CI 1.64- 2.72) compared to women with no eating disorder and were more likely to have h","cbCaigTidd4eLBQa","https://ap.wps.com/l/cbCaigTidd4eLBQa","pdf",579688,"English","# Key Points\n# Introduction\n# Amenorrhea and Fertility\n# Women’s views on hormonal contraception","[{\"question\":\"Why do women with eating disorders still need effective contraception?\",\"answer\":\"They may experience amenorrhoea and anovulation, but ovulation and unintended pregnancy cannot be reliably predicted. Therefore, effective contraception is still required.\"},{\"question\":\"What should underweight women with an eating disorder be advised regarding pregnancy?\",\"answer\":\"They should be counselled about increased risk of adverse pregnancy outcomes when underweight and advised to delay conception until the condition is in remission.\"},{\"question\":\"Which contraceptive methods are considered most effective for this population?\",\"answer\":\"Long-acting reversible contraception (LARC) methods remain the most effective options for women with eating disorders.\"}]","FSRH CEU Statement - Contraception for Women with Eating Disorders | PDF",1791322174]