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  • Option 1 - Rosebery
  • Option 2 - Outwoods
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Oral Contraceptive Pill Review Form

Please complete this form two weeks before you are due for your contraceptive pill review. If you have no problems with your contraceptive pill it may not be necessary for you to see the doctor and instead you may just complete this form fully and return it to us. We do need to know your height, weight and blood pressure. You can check these using home devices or use our health pod behind reception at Rosebery Medical Centre. It will only take five minutes.

Once we have processed the information on this form we will decide whether you can pick up a prescription for a further 12 month supply of pills, or whether the doctor wishes to see you – in which case we will contact you. It is helpful to have a mobile or home phone number on which you are happy for us to leave a message.

If you would rather see the doctor for your annual review, please make an appointment and bring the completed form to the appointment with you.

Important Note - Due to the current coronavirus outbreak our health pod at Rosebery Medical Centre is closed. If you are able to complete your blood pressure on a home device that would be very helpful but please submit the form without your blood pressure reading if you are unable to do this. Thank you.

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Please note – we advise all smokers that they should stop smoking. Smoking does increase the risk of circulatory problems, particularly in women on the pill. If you would like help to stop smoking please visit http://www.quitready.co.uk/

Breast Awareness - We do recommend that all women should be ‘breast aware’ – if you would like information about checking your breasts please visit https://www.nhs.uk/common-health-questions/womens-health/how-should-i-check-my-breasts/. If you think you have a breast lump, or you have a strong family history of breast cancer and have not previously discussed this, please make an appointment with your doctor.

Long Acting Reversible Contraceptives - Many women struggle to remember to take a contraceptive pill reliably and this puts them at risk of unwanted pregnancy. Please visit https://www.charnwoodcommunitymedicalgroup.co.uk/n2-long-acting-reversible-contra for information on long-acting reversible contraceptives (contraception you don’t need to remember) if you think this applies to you. We have also placed an easy click link to this information at the bottom of this page. Please book an appointment with a GP if you would like to consider changing your contraception.

Combined Contraceptive Pill: https://www.nhs.uk/conditions/contraception/combined-contraceptive-pill/ - Progestogen Only Pill (mini-pill): https://www.nhs.uk/conditions/contraception/the-pill-progestogen-only/

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