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Before initiating or reinstituting treatment, a complete medical and family history should be taken. Blood pressure should be measured and a physical examination should be performed, guided by the contraindications and warnings and precautions for use. The woman should also be instructed to carefully read the user leaflet and to adhere to the advice given and to contact her physician if any problems occur at the insertion area. The frequency and nature of examinations should be based on established practice guidelines and be adapted to the individual woman.
The insertion area should be examined at every control visit. If undiagnosed, persistent or recurrent vaginal bleeding occurs, appropriate measures should be taken to rule out malignancy.
Women with a family history of breast cancer or who have benign breast nodules or mastopathy should be monitored with particular care.
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