Public Pricelist

♀ Patient - Contraceptive Pill and Patch

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Which contraceptive would you like to get a prescription for? *

Are you currently using this medication? *

By whom was this last prescribed for you? *

How long have you been using this medication? *

Do you have regular periods? *

Was there any irregularity with your last period? *

Have you ever had any adverse side-effects from this medication? *

Are you taking this medicine for any other reason than for its prescribed intended use? *

Has a healthcare provider (Doctor, Nurse or Pharmacist) ever instructed you should not use any of these treatments (Pill or the Patch or the Ring)? *

Did you notice any irregular vaginal bleeding or discharge? *

Did you have any issues while taking your last medication - such as either missing a pill (excess of 12 hours) or issues inserting/applying your Nuvaring or Patch? *

Did you experience any Gastrointestinal issues (Vominig / Diarrhoea) while on your this medication during your last treatment cycle? *