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Combined Hormonal Contraceptive Methods (CHUM) Consent Form This fact sheet explains the good things and the possible problems of CHUM. If you do not understand all the information, or if you have
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How to fill out combined hormonal contraceptive methods

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How to fill out combined hormonal contraceptive methods:

01
Consult a healthcare provider: Before starting any type of combined hormonal contraceptive method, it is important to consult a healthcare provider. They will assess your individual health needs and discuss the various options available to you.
02
Choose the right method: There are different types of combined hormonal contraceptive methods, including birth control pills, transdermal patches, and vaginal rings. Your healthcare provider will help you choose the most suitable method based on your lifestyle, medical history, and personal preference.
03
Read the instructions: Once you have chosen a specific method, carefully read the package insert or leaflet that comes with it. This will provide you with important information on how to correctly use the contraceptive and what to do in case of missed doses or other issues.
04
Start on the recommended day: Depending on the method chosen, there may be specific instructions on when to start using it. It is important to follow these instructions to ensure maximum effectiveness.
05
Take or apply as directed: For contraceptive pills, take them at the same time every day, following the prescribed order. Transdermal patches should be applied to clean, dry skin and replaced according to the instructions. Vaginal rings should be inserted and removed according to the specified schedule.
06
Keep track of missed doses: It is common to occasionally forget to take a pill or replace a patch or ring on time. In such cases, refer to the instructions provided with your contraceptive method for guidance on what to do. Using backup contraception or contacting your healthcare provider may be necessary.
07
Follow up with healthcare provider: Regularly schedule visits with your healthcare provider to assess your overall health and discuss any concerns or questions you may have about your chosen contraceptive method.

Who needs combined hormonal contraceptive methods?

01
Women seeking effective birth control: Combined hormonal contraceptive methods are highly effective at preventing pregnancy when used correctly. They are suitable for women who want to prevent an unplanned pregnancy.
02
Women with regular menstrual cycles: Combined hormonal contraceptives work by suppressing ovulation and altering cervical mucus, making it inhospitable for sperm. These methods are most effective for women with regular menstrual cycles.
03
Women looking for additional benefits: In addition to contraception, combined hormonal methods can provide other benefits such as more regular and lighter periods, reduced menstrual cramps, and decreased risk of certain cancers and ovarian cysts.
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Combined hormonal contraceptive methods are birth control methods that contain both estrogen and progestin hormones.
Healthcare providers or facilities that prescribe or administer combined hormonal contraceptives are required to file the necessary information.
The details of the prescribed or administered combined hormonal contraceptive method must be accurately documented in the appropriate forms.
The purpose of combined hormonal contraceptive methods is to prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and altering the uterine lining.
Information such as the type of contraceptive method, dosage, frequency of administration, and patient details must be reported.
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