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Counselling to include tailored use of combined oral contraception in clinical practice: an evaluation
  1. Hannat Akintomide1,
  2. Katherine Margaret Rank1,
  3. Nataliya Brima2,
  4. Fiona McGregor1,
  5. Judith Stephenson3
  1. 1 Sexual and Reproductive Health, Central and North West London NHS Trust, Margaret Pyke Centre, London, UK
  2. 2 Centre for Sexual Health & HIV Research, Infection & Population Health, University College London, London, UK
  3. 3 Sexual & Reproductive Health, Institute for Women’s Health, University College London, London, UK
  1. Correspondence to Dr Hannat Akintomide, Sexual and Reproductive Health, Central and North West London NHS Trust, New Croft Centre, Market Street (East), London NE1 6ND, UK; h.akintomide{at}


Background Combined oral contraception (COC, ‘the pill’) remains the most prescribed method of contraception in the UK. Although a variety of regimens for taking monophasic COC are held to be clinically safe, women are not routinely counselled about these choices and there is a lack of evidence on how to provide this information to women.

Aim To assess the usefulness and feasibility of including tailored use of monophasic COC within routine COC counselling in a sexual and reproductive health (SRH) service using a structured format.

Method Using a structured format, healthcare professionals (HCPs) counselled new and established COC users attending an SRH service about standard and tailored ways of taking the pill. Questionnaires were used to survey both the HCPs and patients immediately after the initial consultation, and then the patients again 8 weeks later.

Results Nearly all patients (98%, n=95) felt it was helpful to be informed of the different ways of using monophasic COC by the HCP, without giving too much information at one time (96%, n=108). The HCPs were confident of their COC counselling (99%, n=110) and did not think the consultations took significantly longer (88%, n=98).

Conclusion This study demonstrates that information on different pill taking regimens is useful and acceptable to patients, and can improve contraceptive pill user choice. It is also feasible for HCPs to perform COC counselling to include tailored pill use during routine consultations in a clinical setting.

  • Combined oral contraception (COC)
  • counselling
  • pill taking
  • tailored
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  • Funding This study was funded by a small grant received from the Margaret Pyke Centre Research Awards Scheme.

  • Competing interests None declared.

  • Ethics approval NRES Committee Yorkshire & The Humber - Leeds West.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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