Provenance
Written by SPS and the College of Sexual and Reproductive Health (CoSRH), with the support of specialist stakeholders working within clinical practice, for use within reproductive services.
August 2025 – note the Faculty of Sexual and Reproductive Healthcare (FSRH) has now changed its name to the College of Sexual and Reproductive Healthcare (CoSRH). Some web pages and CoSRH documents will continue to display the FSRH name; where you see FSRH, this refers to CoSRH. All weblinks are still active. The wording in the PGD/protocol templates will be updated at their next review.
Template versions available
Version 3.0 of this PGD template, valid from April 2026, has been published to allow organisations to undertake local governance processes in a timely manner.
Version 2.0 of this PGD template remains currently valid and will be removed from this page on its expiry (31st March 2026)
PGD template attachment
The template PGD is attached below to download and use in conjunction with our implementation advice.
More reproductive health PGD templates
- Levonorgestrel 1500 microgram tablets for emergency contraception
- Progestogen only pill (POP) for contraception
- Ulipristal acetate 30mg tablets for emergency contraception
- Combined oral hormonal contraceptive (COC) in reproductive health
- Combined hormonal contraceptive transdermal patch
- Copper Intrauterine Device (Cu-IUD)
- Lidocaine 10mg/ml spray for IUC insertion or removal
- Lidocaine plus prilocaine cream for IUC insertion or removal
- Progestogen-Only Intra-Uterine Device (LNG-IUD) for contraception
- Medroxyprogesterone acetate (SC-DMPA) injection for contraception
- Medroxyprogesterone acetate (DMPA) IM injection for contraception
- Etonogestrel (e.g. Nexplanon®) implant for contraception
- Lidocaine injection for subdermal etonogestrel in contraception
Update history
- Republished
- Version 3.0 template published and explanatory wording added. Page reviewed.
- Information added regarding name change of FSRH to CoSRH
- Title, URL and summary amended.
- Version 1 removed as expiring end March '23
- Version 2.0 PGD template added
- Revised template added to reflect updated FSRH guidance on use of e-cigarettes/vaping and minor detailed changes
- Published