Database

All information you choose to share with us is completely confidential. We may use some of this information to compile statistics on symptoms/side effects. If you object to your details being used in this way please do not enter them in the box at the bottom of this page.

Please provide the following:

First Name
Last Name
E-mail
URL

If you have been sterilised, please enter the date of your operation:

-- mm/dd/yy

Please add anything you think is relevant (e.g. age when sterilised, place of sterilisation, Consultants name, method of sterilisation, whether you consider you were adequately counseled prior to operation, side effects you experienced, anything else you feel is important):