 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST] , especially of: recent pregnancy, current breastfeeding, bleeding/blood disorders, high blood pressure, abnormal breast exam, cancer (especially endometrial or breast cancer), depression, diabetes, severe headaches/migraines, heart problems (such as heart valve disease, irregular heartbeat, previous heart attack), liver disease (including tumors), previous pregnancy outside the uterus (ectopic pregnancy), stroke, unexplained vaginal bleeding, uterus problems (such as fibroids, pelvic inflammatory disease-PID), conditions that weaken the immune system/increase the risk of infection (such as HIV, leukemia, IV drug abuse). If you or partner have other sexual partners, this device may not be the best birth control method for you. If you or your partner get a sexually transmitted disease (including HIV, gonorrhea, chlamydia), contact your doctor right away. Ask your doctor if you should continue to use this device for birth control. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Also, if you are going to have an MRI test, tell testing personnel that you are using this device. They may need to adjust your MRI test. This device should not be used during pregnancy </s>