As a GP, I’m very worried about changes to how ‘the pill’ will be prescribed

May 22, 2026 — 7:30pm

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She booked the appointment to talk about contraception. Nineteen years old, she had recently moved to the coast to start university, and was trying hard to cope. But as the consultation unfolded, it became clear the pill was only part of the story. Her periods were so heavy and painful she was missing classes. She was distressed by worsening acne. She was in a new relationship and needed a sexually transmitted infection (STI) screen. What began as a “simple” contraceptive consultation became a complex conversation about possible endometriosis, skin care, screening and the difficult transition into adulthood.

This is why many GPs are deeply concerned about the impending rollout of pharmacy prescribing of the oral contraceptive pill in NSW.

The debate is easy to frame as a turf war between doctors and pharmacists – two professions resisting change and protecting territory. But for many in primary care, that framing misses the point entirely.

Women absolutely deserve more accessible and affordable healthcare. General practice is under enormous pressure, and many women delay care because attending a medical appointment........

© The Sydney Morning Herald