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August 8, 2001

Depression and Hormonal Contraception

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;286(6):671-672. doi:10.1001/jama.286.6.671

To the Editor: Dr Stewart and colleagues1 review and discuss recommendations for examining women at risk for health complications during the use of hormonal contraceptives. The list of eligibility for use of progestin-only contraceptives, adapted from the World Health Organization (WHO) as well as the authors' discussion of such contraceptives, fails to consider the presence of a mood disorder as a need for caution or special monitoring. However, progestin-only implants have been associated with an increased incidence of depressive symptoms in postpartum women.2

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