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Period Delay

Period Delay
Name
WHICH MEDICINE DO YOU PREFER? Ultimately it will be a joint decision between you and one of our clinicians on whether a particular medicine is appropriate.
IMPORTANT INFO | We need to know your blood pressure. Please ensure you have this reading ready. Just like a traditional consultation we're going to ask you about your medical history and symptoms. Your answers will help us assess your suitability for treatment. Please answer all questions honestly and in full. If you have any problems understanding or answering a question please call or message us.
We aim to review orders for period delay medication within 24 hours. Whilst we are often faster, your order may take up to 24 hours to process. We are unable to fast track specific orders. Please tick to confirm you understand
Why do you wish to delay your period?
Do you experience any abnormal or undiagnosed vaginal bleeding (that is bleeding other than your period, such as bleeding in between periods or bleeding after sex)?
Period delay tablets carry an increased risk of blood clots. Please let us know if you have ever had any of these: Please select all that apply
Do you have any of the following? Please select all that apply
Other than those already mentioned, do you have any other medical conditions, illnesses, hospital stays or past surgical procedures?
We need your blood pressure reading within last 9 months
Are you a smoker?
Please tick any of the following that apply to you:
Are you currently using any form of hormonal contraception?
Are you taking any other prescription-only medicines, over-the-counter medicines, alternative medicines or recreational drugs?
Do you have any known allergies?
Is there anything else you think I should know?
Please confirm: you understand the questions asked; have answered them honestly; any treatment is for you only. You should read our clinicians’ advice and also, the patient information leaflet that comes with any medication. You can message us if needed.
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