Comments on FSRH National Audit on Combined Hormonal Contraception Service Provision: things our service has learned and possible learning points for others.

Our service, a fully integrated sexual health service, took part in the combined hormonal contraception (CHC) benchmarking audit, whose final report was published on 9 March 2020.1 Participation provided some positive affirmation for areas in which our service was doing well but also highlighted how poor we, and others, are at taking the opportunity to discuss long-acting reversible contraception (LARC) and explain the fundamental ‘pros and cons’ of CHC to clients. I was particularly distressed by one comment I read in the final report which said: “ We do not think that for every single CHC check patients should be informed of the risks. Those who have come to us for years understand the score well and we feel they would be ‘put off’ the service if we lectured them at every pill check”. I believe this statement demonstrates a lack of understanding about how …