Assessment of client suitability
History
Clinical history taking and examination allow an assessment of medical eligibility for CHC use and possible contraceptive options for the woman. In this context the history should include relevant social, sexual (to assess risk of sexually transmitted infections – STI), medical, family and drug history as well as details of reproductive health and previous contraceptive use.
This history should be updated annually.
Examination
- Blood pressure and BMI should be recorded and noted
- Self-reported recordings are acceptable for remote prescribing
- Breast examination, pelvic and genital examinations, cervical cytology screening and routine lab tests do not contribute substantially to CHC safety and are not recommended routinely but should be performed if clinically indicated for other reasons.