Contraception checklist

Not sure how to approach the topic of contraception with your doctor or nurse?

Fill out this simple checklist and screenshot it for your next appointment

These answers are not collected or stored

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Why have you made this appointment?

You may want to find out more about birth control options, understand how you can regulate your periods, discuss premenstrual syndrome (PMS), period pains, irregular periods, acne or unwanted hair growth

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Share any concerns or anxieties

This can help your healthcare professional support you in finding an option that best suits you

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Describe your lifestyle

Sharing information like your current occupation, daily routines and your relationship status can help your healthcare professional suggest options that are most convenient for you

Provide your health status and medical history

Your healthcare professional will consider your medical history before helping you make your birth control choice

Please tick all that apply

Do you have a personal or family history of blood clots?

Do you have a personal or family history of breast cancer?

Do you have high blood pressure?

Do you have diabetes or prediabetes?

Do you regularly consume alcohol?

Do you smoke?

Have you had an abortion?

Have you previously had a miscarriage?

None of the above

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Jot down any other questions you may have

Tips to get the most out of your appointment

Need a refresher?

Consider asking about the different types of contraceptives that are available, including their benefits and drawbacks.

Remember the effectiveness of each type of contraception can vary between ‘perfect’ and ‘typical’ use. Ask your doctor for more information about how different methods should be used to ensure maximum effectiveness.

Confused about hormones?

Consider asking for a clear explanation of what hormones are and how they are used in both short-acting and long-acting birth control methods.

Keep in touch…

… with your healthcare professional and ask about any regular check-ups that are required or recommended for your chosen method of contraception.

It’s also important to ask what you can do if you start a method of birth control and later decide it’s not the right choice for you.

Remember, no one is better qualified than your doctor or nurse to provide you with accurate, reliable and balanced information

You have the right to make an informed choice, so be sure to ask questions and get all the insights you need

We hope this information empowers you to enjoy sex safely and responsibly without the worry of getting pregnant,  knowing “yup, I’m protected On My Terms”