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Birth Control Switch Checklist

A private checklist for birth control switch prep, with current method notes, dates, bleeding pattern, side effects, goals, privacy choices, and care questions.

This checklist is for appointment prep. It does not choose a method for you. It does not replace timing guidance from care.

Use it before a visit with a clinician or pharmacist. Bring the parts you want to share.

Current method

Start with what you use now.

Question Your note Current method Brand or type, if known Start date Last refill, shot, insertion, or placement date Planned stop date, if any Who prescribed or placed it What you like about it What you want to change

Dates to bring

Use exact dates when you know them. Use the closest date when you do not.

Date type Your note Last period start date Last bleeding or spotting day Last sex date you want to mention Last pregnancy test date, if relevant Missed pills, late shot, patch issue, ring issue, or device concern Appointment date

Ask your clinician or pharmacist what these dates mean for your switch plan.

Bleeding pattern

Write what changed.

Pattern Your note No bleeding Spotting Bleeding between periods Heavy days Long bleeding stretch Cramps or pelvic pain Bleeding after sex Pattern you want help with

If bleeding is heavy, painful, new, or worrying, say that early in the visit.

Side effect notes

Do not try to prove the cause. Just name the timing.

Symptom or change Date it started How often How much it affects life Headaches Mood changes Nausea Acne or skin changes Breast tenderness Weight concern Libido change Other

Bring medicine and supplement names if you use them.

Goals for the next method

Check what matters to you.

Fewer bleeding surprises. Less cramping. Fewer mood concerns. Easy to stop or change. Fewer clinic visits. No daily task. Lower cost. More privacy at home. More privacy from apps. Works with a health condition I have. Works with a medicine I take.

These are talking points. They are not instructions.

Health history check

Some health conditions can affect which methods fit. CDC U.S. MEC is written for clinicians who check this.

Mark items to ask about.

Migraine, especially with aura. High blood pressure. Blood clot history. Smoking and age over 35. Breast cancer history. Liver disease. Diabetes with complications. Postpartum or breastfeeding. Recent surgery or limited movement. Medicine interactions. Other health condition.

Ask your clinician or pharmacist how your health history affects your options.

Privacy choices

Switching can create records in more than one place.

Choice Your note Where do I want to track dates? Do I need a paper copy? Do I want to share a full app export? Would a one page summary be enough? Who can see my phone alerts? Who can see insurance or pharmacy records? What details do I want to keep out of the share?

Floriva can hold cycle and symptom notes on your device. A paper checklist can also work.

Questions for care

Bring the questions that fit.

Which methods fit my health history? What side effects should I watch for? What bleeding changes are common with this method? What symptoms mean I should call? What dates matter for switching safely? Do I need a pregnancy test today? Should I keep using my current method until a certain date? What should I do if the new method bothers me? Can I get this through a pharmacy? What will show on insurance or pharmacy records?

One page switch summary

Fill this out before the appointment.

Summary item Your note Current method Main reason for switching Most useful part of current method Biggest problem Bleeding pattern Side effects to discuss Health history questions Privacy concerns Top goal First question for care

Keep a copy for yourself. Update it after the visit with the plan your clinician or pharmacist gives you.