Progesterone only Contraception Pill Review

There is limited benefit of a face to face pill check for a proportion of the women taking the progesterone only contraception pill. It's a relatively safe medication with limited contraindications so the GP has designed this questionnaire to screen for those women who would still benefit from a pill check appt.

Please complete the following questionnaire to allow your health care professional to assess your current contraception. This questionnaire is for a routine review of your current contraception. If you are experiencing any problems with your contraception or you would like to discuss changing your contraception please contact the surgery.  

To complete the questionnaire please use one of the following methods:

  • Through the Notts NHS App - click here for instructions, click here to find out how to download the Notts NHS App
  • Complete the Questionnaire – You can access the Questionnaire here,  please then return the questionnaire via reception or you can email it in to (please ensure your name, date of birth and contact details are included in the email)

Depending upon your answers, you will be contacted (often by text message) if your repeat prescription has been issued or if you need to be seen in clinic for a further assessment.

If you have access a SystmOnline account, you can access this questionnaire from your account by logging in and clicking questionnaires. After you have filled it in, it will be sent automatically to us.

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