Contraception - progestogen-only implant assessment
Questionnaire/history:
Requested method?
Previous method?
Since when?
Side effects?
Menstrual periods:
- Duration?
- Heaviness?
- Timing?
- LMP?
IMB or PCB?
Breast aware/self-examination?
Last cervical screening?
Result?
Pregnancy excluded?
Risk of STIs?
Risk for sexual abuse, rape and non-consensual sex?
Past medical history?
- Smoking?
- Obesity?
- Hypertension?
- Diabetes?
- Venous thromboembolism?
- Headache or migraine?
- Menorrhagia, fibroids or previous ectopic pregnancy?
- Epilepsy?
- STI or pelvic inflammatory disease?
Reproductive history?
Current medication?
- Liver enzyme inducing drugs?
Comorbidities and special personal characteristics?
Drug allergies?
Examination:
Blood pressure?
Height?
Weight?
BMI?
Management:
UK Medical Eligibility Criteria for Contraception (UKMEC) considered?
Advised:
- Relative efficacy of the method
- How the method work
- Common adverse effects
- Possible drug interactions
- Health risks and benefits of the methods
- Information on infertility after discontinuing the methods
- To read information at www.nhs.uk and www.sexwise.org.uk
Resource(s):
FSRH: UK Medical Eligibility Criteria for Contraception (UKMEC)NICE CKS: Progestogen-only implant
Information for patient:
NHS Health A to Z: Contraceptive implant
Sexwise: Contraceptive implant