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According to FSRH, health professionals can use any one or more of these criteria, in the absence of symptoms or signs of pregnancy, to be 'reasonably certain' that a woman isn't pregnant.
| Criterion | Explanation |
|---|---|
| No intercourse since last major reproductive event | If the woman hasn't had intercourse since her last natural menstrual period, childbirth, abortion, miscarriage, ectopic pregnancy, or uterine evacuation for gestational trophoblastic disease, it's unlikely she's pregnant. |
| Correct and consistent use of reliable contraception | Reliable contraception, if used correctly and consistently, minimizes the chances of pregnancy. Barrier methods are included if they've been properly used for each intercourse. |
| First 5 days of a normal menstrual period | If she's within the initial 5 days of her natural menstrual cycle, chances of being pregnant are very low. |
| Less than 21 days postpartum (for non-breastfeeding women) | Pregnancy in the first 21 days after childbirth is rare, especially for non-breastfeeding women. |
| Fully breastfeeding, amenorrhoeic, and less than 6 months postpartum | Exclusive breastfeeding can act as a natural contraceptive, especially if the woman is also amenorrhoeic (not menstruating) and it's been less than 6 months since childbirth. |
| First 5 days after abortion, miscarriage, ectopic pregnancy, or uterine evacuation | The initial 5 days after... |
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