About your condition and treatment
To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us .
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Are you a woman over the age of 16 years to 50 years?
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Have you had a migraine without aura, with the first attack when on oestrogenic method of contraceptive?
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Do you have a past or current history of breast cancer?
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Do you have an undiagnosed breast mass?
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Are you a carrier of known gene mutations associated with breast cancer e.g. BRCA1?
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Do you have a benign liver tumour?
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Do you have a malignant liver tumour (hepatoma)?
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Do you have viral hepatitis, acute or flare?
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Do you have severe decompensated cirrhosis?
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Have you had gall bladder disease; symptomatic and medically treated?
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Do you have gall bladder disease; current and symptomatic?
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Do you have cholestasis (past combined hormonal contraceptive (CHC) related)?
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Do you have Raynaud's disease; secondary, with lupus anticoagulant?
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Do you have Systemic Lupus Erythematosus (SLE) with positive or unknown antiphospholipid antibodies?
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Do you have an undiagnosed abnormal vaginal bleeding?
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Do you have a current or past history of migraine with neurological symptoms including aura at any age?
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Do you have a known hypersensitivity to any constituent of the combined oral contraceptive pill?
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Do you have significant or prolonged immobility including planned major surgery?
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Are you pregnant or suspect that you may be pregnant?
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Are you less than 21 days postpartum?
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Are you breastfeeding and less than 6 months postpartum?
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Are you aged 35 years of age or more and a smoker, or stopped smoking less than one year ago?
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Is your BMI equal to or greater than 35kg/m2?
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Is your BP greater than 140/90mmHg, or controlled hypertension?
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Do you have two or more risk factors for cardiovascular disease such as: over 35 years of age, smoking,
diabetes, hypertension, obesity (BMI 30-35 kg/m2)
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Do you have hyperlipidaemia?
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Do you have a current or past history of ischaemic heart disease, stroke or transient ischaemic attack?
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Do you have a current or past history of venous thromboembolism?
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Do you have a first degree relative with venous thromboembolism under 45 years of age?
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Do you have known thrombogenic mutations?
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Do you have complicated valvular or congenital heart disease e.g. with pulmonary hypertension, atrial
fibrillation or history of subacute bacterial endocarditis?
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Do you have diabetes with end organ disease?
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I agree to the Terms and Conditions and agree that I am over 18
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