Sayana Press Self-Injection

Sayana Press Self-Injection

We can only prescribe Sayana Press if you have:

  • Used Sayana Press before
  • Been shown how to self-inject Sayana Press by a healthcare professional
  • Had a face-to-face consultation to talk about possible side effects

You need to be shown how to use Sayana Press by a clinician because if it is not injected correctly it might not work as contraception. Please do not order from us if you are using the self-injection method for the first time.

If you want to start on Sayana Press or be shown how to inject it, contact your local sexual health clinic, or book an appointment with Dr Natalie Sun.

Sayana Press is a safe and effective contraception that often stops periods or makes them lighter.

If you use the injection for a long time, it may increase your risk of osteoporosis (thinning of the bones). This risk returns to normal after you stop the injections.

  • Eligibility Criteria

    Have you ever used the injectable contraceptive (Sayana Press) before? If no please do not continue with this form and book an appointment with a health professional.
    Has a healthcare professional ever shown you how to use self-injectable contraception? If no please do not continue with this form and book an appointment with a health professional.

  • Risk of Bone Thinning

    Every  2 years we need to assess your risk of bone thinning to ensure that it is safe for you to continue on the injection. This will usually involve a short phone call with one of our clinicians.

    Have you had a conversation with a healthcare professional about the use of the injection and your bone mineral density within the last 2 years?

  • Smoking status

    We ask about smoking so that we can understand if there are any potential risks in relation to your contraception choice and discuss this with you.

    If you smoke, you will still be able to complete this order form, but before your contraception is prescribed, one of our clinicians may contact you to discuss

    Do you smoke, vape, use e-cigarettes or any other tobacco products including shisha pipes?

  • History of Thrombosis

    This would include:

    • A stroke or mini-stroke (also known as TIA, transient ischaemic attack)
    • A blood clot in your legs (deep vein thrombosis)
    • A blood clot in your lungs (pulmonary embolism)

     

    Have you ever had a blood clot (thrombosis)?
    Do you have a condition that affects your blood clotting? Such as Factor V Leiden, prothrombin, protein S, protein C or antithrombin deficiency?

  • Heart Conditions

    For example: 

    • A heart attack or angina (ischaemic heart disease)
    • Problems with your heart rhythm, for example atrial fibrillation
    • Problems with your heart valves
    • Problems with your heart muscle (cardiomyopathy)
    • Narrowing blood vessels in your legs (peripheral vascular disease with occasional pain when you walk)

     

    Do you have any conditions that affect your heart or circulation?

  • Risk of Breast Cancer

    Contraception can sometimes increase your chance of breast cancer. We need to understand your current risk level so we can prescribe safely.

    Have you had or do you have breast cancer?
    Have you done a genetic test that showed genes associated with a higher risk of breast cancer (BRCA1, BRCA2, or others)?
    Do you have discharge, nipple changes or a lump in your breast area and you do not know what's causing it?

  • Liver and Gallbladder Function

    We need to know this as your liver is important in processing the hormones in the contraception. Liver problems include:

    • Jaundice, including during pregnancy (this does not include jaundice as a baby)
    • Hepatitis
    • Cirrhosis 
    • Liver cancer, either benign (e.g. adenoma) or malignant (e.g. carcinoma)
    • Budd-Chiari syndrome
    • Gallbladder disease (inflammation, infection, gallstones, blockage)

     

    Have you ever been diagnosed with liver or gallbladder problems?

  • Informational Leaflet About Sayana Press

    Here is a leaflet about the risks of Sayana Press

     

  • Declaration

    If you are unable to answer yes to the below statements you will not be able to submit this review form.

    I can confirm that I have refreshed my knowledge by reading the leaflet above about Sayana Press, including the risk to my bone density.
    I confirm that this is a repeat prescription request
    I confirm that I am aware of how to take my injection
    I confirm that I am aware of different contraceptive methods and opt to use the progesterone-only contraceptive injection
    I confirm that any medication prescribed for me is for my personal use only and that I have responded honestly and provided complete and accurate information
This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Page last reviewed: 06 May 2025
Page created: 06 May 2025