Treatment Questions | Pharma Aesthetics

Answer medical questions to order

Have you read the medical information for progestogen-only contraceptive pills (POP)?

Yes No

Are you up-to-date with cervical cancer screening tests?

Yes No

Cervical cancer screening tests are usually needed 3 or 5 yearly for women 25-49 years and 5 yearly from 50-64 years, depending on where you live. Screening may be needed more frequently if there has been a previous abnormal result.

Have you been using Noriday or Norgeston POP for at least 12 months?

Yes No

Would you prefer a long acting contraceptive such as the progesterone implant, depot injection, IUD, or coil that is more reliable?

Yes No

Is there any possibility that you may be pregnant?

Yes No

Do you have unexplained or irregular bleeding particularly after sex?

Yes No

Have you had any of the following?

Yes No

Diabetes Breast, ovarian or uterine (womb) cancer Severe liver disease or liver cancer HIV Current or recent blood clot (thrombosis)

Are you taking any of the following medications?

Yes No

These medications can interact with POP: Epilepsy medication Antibiotics to treat tuberculosis HIV treatment Griseofulvin, bosentan, modafinil, or aprepitant Ciclosporin Herbal remedies containing St John's Wort

Are you allergic to desogestrel, levonorgestrel, norethisterone, peanuts, or soya, or are unable to take lactose?

Yes No

Have you been advised by a doctor or nurse to have special monitoring of your contraception?

Yes No

Do you have any concerns about your safety or well-being?

Yes No

Answer 'Yes' if you feel vulnerable, or you are being forced to obtain treatment.

Do you have any further medical information or questions?

Yes No

Is there anything you do not understand or do you need further help?

Do the following apply to you?

Yes No

The contraception is for my own use and I will not share with anyone else I will read the information leaflet supplied with my pills I am over 18 and I agree to identity verification checks I have completed this questionnaire myself and fully understand all the information My responses are honest and accurate, and I understand that this is necessary for a safe medical assessment I agree to the terms & conditions, privacy policy, data sharing policy & consent to cookies

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Progestogen-only pill (mini pill)

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