Guide for Aviation Medical Examiners

Pharmaceuticals (Therapeutic Medications)
Contraceptives and Hormone Replacement Therapy

1. Code of Federal Regulations:
   • First-Class Airman Medical Certificate: 67.113(b)(c)
   • Second-Class Airman Medical Certificate: 67.213(b)(c)
   • Third-Class Airman Medical Certificate: 67.313(b)(c)


2. Medical History:
   Use of Oral or Repository Contraceptives or Hormonal Replacement Therapy are not disqualifying for medical certification. If the applicant is experiencing no adverse symptoms or reactions to hormones and is otherwise qualified, the Examiner may issue the desired certificate.


3. Aeromedical Decision Considerations:
   See Medical History above and Item 48, General Systemic, Gender Identity Disorder.


4. Protocol: N/A


5. Pharmaceutical Considerations: See Medical History above.