PILL CHECK
PILL CHECK
?Request Contraceptive pill ?
?BP: ?
?BMI: ?
?Smoking:  ?
?Hx fhx: Breast, cervical, gynaecological conditions: nill   ?
?Hx fhx: Thromboembolic conditions: nill   ?
?Hx Migraines with Auras: Nill ?
?Breast feeding ?
?Enzyme inducing meds: ?
?LARCS: discussed / declined / TCB if changes mind ?
?Discussed lmp starting pill / late / missed pill / Concurrnet abx protocols ?
EMERGENCY CONTRACEPTION
?Requests emergency contraception ?
?Current contraceptive: ?
?Condoms: ?
?Position in cycle/ lmp:?
?Upsi timing: ?
?Previous Emergency contraception in this cycle? ?
?levonelle 1 step within 60 hrs ?
??
??
?Has a failure rate ?
?If vomit soon after use will need another pill ?
?Ulipristal within 5 days.. but will stop pop pill working ?
?abstain after use ?
?pregnancy test if next period late ?