Compare telehealth services that prescribe and deliver hormonal contraception, with refills handled without a clinic visit.
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Check which methods a service actually prescribes, whether it requires a recent blood pressure reading before prescribing a combined pill, how refills are handled, and whether it can switch you to a different formulation if side effects appear.
Complete a health questionnaire including blood pressure and medical history, have a licensed clinician review it, and receive a prescription delivered to your door or sent to a pharmacy, with refills on a set schedule.
Combined oral contraceptive pills, progestin-only pills, the patch and the vaginal ring can all be prescribed remotely. Long-acting reversible methods such as IUDs and implants require an in-person procedure, so online services can only advise on those.
For combined hormonal contraception, yes. Oestrogen-containing methods are not appropriate for people with uncontrolled hypertension, and a current blood pressure reading is part of safe prescribing. A reputable service will ask for one before issuing a combined pill.
Combined methods are generally avoided in people with migraine with aura, a history of blood clots, uncontrolled high blood pressure, certain liver conditions, or who smoke and are over 35. Progestin-only options are often suitable instead, which is a decision for the reviewing clinician.
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