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Contraception

Contraception

Advice and prescriptions covering the combined pill, progestogen-only pill and emergency contraception.

£40 consultation

Hormonal

Assessed and prescribed by a GMC-registered GP

Prescriptions sent electronically to a pharmacy

Monitoring and follow-up included where it is needed

Your NHS records in the room, with your consent

Clinically reviewed by Dr Mohammad Khan · Last reviewed

August 23, 2026

Book a consultation

A 20-minute appointment with a GMC-registered GP for £40. Same-day appointments are usually available, 6am to 10pm, seven days a week.

Private GP care led personally by Dr Mohammad Zubair Khan, GMC 7563469.

Why patients choose Cheshire Clinics

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Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals
Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals

Overview

Contraception is one of the things people most often need quickly and least often manage to get quickly.

The consultation covers what you're currently using, whether it still suits you, and what the alternatives are — including methods we cannot prescribe remotely but can refer you for.

What it is

We can prescribe the combined oral contraceptive pill, the progestogen-only pill, and emergency contraception where appropriate.

Coils, implants and injections require a physical procedure, so we refer rather than provide these.

Who it's suitable for

Book if you are

  • Starting contraception for the first time
  • Switching because of side effects, bleeding or convenience
  • Needing a repeat supply quickly
  • Needing emergency contraception — book same day, timing matters

Please also know

NHS sexual health services provide contraception free of charge, including methods we cannot offer remotely. If that is the better route we will say so.

What we offer is speed and an appointment that fits around your day.

How treatment works

1. Assessment

Medical history, migraine history, smoking status, BMI and blood pressure. These determine which methods are safe for you — particularly whether the combined pill is an option.

2. Prescription

Issued digitally for any UK pharmacy.

3. Settling in

Irregular bleeding is common in the first three months and usually settles. Worth knowing before you conclude it is not working.

4. Review

Annual review, or sooner if something is not right.

Ready to start treatment?

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What's included

  • A 20-minute consultation covering what you use now, how it suits you and what the alternatives are
  • A blood pressure reading, which is required before the combined pill can be started or continued
  • A private prescription where appropriate
  • Referral for coil, implant or injection, which need a physical procedure

What we can prescribe

  • Combined oral contraceptive pill
  • Progestogen-only pill
  • Emergency contraception

What we refer for

Coils, implants and contraceptive injections all require someone in the room. We can refer you, including to free NHS sexual health services.

Safety and side effects

Common early effects include irregular bleeding, breast tenderness, nausea and mood changes, often settling within three months.

The combined pill slightly increases the risk of blood clots. Seek urgent medical attention for calf pain or swelling, chest pain, breathlessness, severe headache with visual disturbance, or weakness on one side.

Not suitable if

The combined pill is not suitable with migraine with aura, a history of blood clots, uncontrolled high blood pressure, smoking over 35, BMI over 35 with other risk factors, or certain cancers.

The progestogen-only pill is often suitable where the combined pill is not.

Monitoring and follow-up

Give it three months

Irregular bleeding and spotting in the first three months are common with almost every hormonal method and usually settle. A great many women stop in month two, concluding a method has failed when it has not finished settling.

Breast tenderness, nausea and mood changes follow the same pattern.

Annual review

  • Blood pressurerequired before starting and for continuing the combined pill, and the commonest reason a repeat cannot be issued
  • Weight and BMI, and smoking status
  • Any new migraine, and specifically whether there is aura — which changes the answer entirely
  • New medicines, since several reduce contraceptive effectiveness
  • Whether the method still suits your life, which changes more often than people expect

What to report straight away

These are the combined pill warning signs and they are worth memorising:

  • Calf pain, swelling or tenderness — possible clot
  • Chest pain or breathlessness — 999
  • Severe headache with visual disturbance, or a first migraine with aura — stop the combined pill and contact us the same day
  • Weakness or numbness on one side, or difficulty speaking — 999
  • Yellowing of the skin or eyes

Things that reduce effectiveness

  • Vomiting within 2–3 hours, or severe diarrhoea — treat as a missed pill
  • Enzyme-inducing medicines — several antiepileptics, rifampicin, and St John's Wort, which is bought over the counter and causes pregnancies every year
  • Missed pills, where the rules differ between the combined and progestogen-only pill. Read the leaflet, and ring us if unsure rather than guessing

Age and stopping

The combined pill is generally stopped at 50; the progestogen-only pill can continue to 55. Contraception is advised until 55, or for one year after the last period over 50 and two years under 50.

HRT is not contraception, which catches people out — see menopause and HRT.

Screening carries on regardless

Contraception does not replace cervical screening. Keep attending.

Alternatives

NHS sexual health services are free, and often the better route

We would rather say this plainly: contraception is free on the NHS, including at sexual health clinics that take self-referrals, offer walk-in appointments, and provide the methods we cannot.

What we offer is speed and an appointment that fits round your day. That is worth something to some people and nothing to others.

What we cannot provide remotely

Anything needing someone in the room:

  • The hormonal coil (IUS) — up to 8 years, very effective, and it makes periods lighter or stops them. Frequently the best choice for heavy periods
  • The copper coil (IUD) — up to 10 years, entirely hormone-free, and the most effective emergency contraception available, working up to 5 days after
  • The implant — 3 years, and the most effective method there is
  • The injection — every 12–13 weeks; some services provide it for self-administration at home

These long-acting methods are considerably more effective than the pill in real-world use, because they do not depend on remembering anything. We can refer.

What you can get without any appointment

  • The progestogen-only pill (desogestrel) is available from pharmacies over the counter after a pharmacist consultation — no GP needed
  • Emergency contraception from pharmacies, free at many, and free at sexual health clinics and some walk-in centres
  • Condoms free through sexual health services and the C-Card scheme for under-25s — and the only method that also protects against STIs

Non-hormonal options

The copper coil, condoms, and fertility awareness methods, which can be effective when taught properly and used consistently — an app alone is not a method.

Sterilisation, male or female, for anyone certain their family is complete. Vasectomy is simpler, safer and more reliable than female sterilisation, and is under-considered.

Where contraception is also the treatment

Worth raising if relevant: hormonal methods are used for heavy periods, endometriosis, PCOS, acne and premenstrual symptoms. Choosing a method that treats both at once is often the better decision.

Costs explained

What you pay us

£40 for the consultation, and £40 for the annual review. The prescription itself is included.

What you pay the pharmacy

Contraceptive pills are inexpensive, generic and cheap as private prescriptions. We earn nothing from what is prescribed.

The honest comparison

All contraception is free on the NHS — no prescription charge applies to contraceptives at all, for anyone, at any age. Sexual health clinics take self-referrals and often have walk-in appointments.

So paying us buys speed and convenience, not a better or different medicine. That is a legitimate thing to buy if you cannot get an appointment for weeks or cannot take time out of work — but you should know exactly what you are paying for.

Two free routes worth using first

  • The progestogen-only pill is available over the counter from pharmacies after a consultation with the pharmacist. If that is the method you want, this is faster and cheaper than seeing us
  • Emergency contraception is free at many pharmacies, at sexual health clinics and at some walk-in centres. Please do not pay for an appointment before checking that — and either way, act quickly, because timing matters far more than route

Value over time

Long-acting methods — coil, implant, injection — are free on the NHS, more effective than the pill in real-world use, and require nothing of you day to day. If you are choosing a method for the next few years rather than the next few months, they are worth a conversation even though we cannot fit them.

What we will not sell you

No hormone testing to "check" contraception, which is not a thing. No supplements. We sell nothing.

Common questions

Can you prescribe the pill today?

Usually yes, following the assessment — medical history, migraine history, smoking status, BMI and a blood pressure reading. Blood pressure is required before the combined pill can be started or continued, so have a recent reading ready if you can; pharmacies check it free.

Can you fit a coil or implant?

No — those need someone in the room, so we refer. NHS sexual health services provide them free and usually take self-referrals.

They are also more effective than the pill in real-world use, because they do not depend on remembering anything.

Do I have to pay? Is it not free on the NHS?

It is entirely free on the NHS, and we would rather you knew that. No prescription charge applies to contraception for anyone.

What you are paying us for is speed and an appointment that fits your day — not a different or better medicine.

I need emergency contraception. What should I do?

Act today, and check the free routes first. It is free at many pharmacies, at sexual health clinics and at some walk-in centres.

  • Levonorgestrel — up to 72 hours, more effective the sooner it is taken
  • Ulipristal (ellaOne) — up to 120 hours, and more effective later in that window
  • The copper coil — up to 5 days and by far the most effective option, though it needs fitting

Weight matters: a higher dose of levonorgestrel may be needed above about 70kg. Ask.

I get migraines. Can I take the combined pill?

The critical question is whether you get aura — visual disturbance, zigzag lines, numbness or speech difficulty before the headache.

Migraine with aura is an absolute contraindication to the combined pill because of stroke risk. Migraine without aura is usually fine.

The progestogen-only pill, implant, injection and coils are all options either way, so this rules out one method rather than contraception generally.

I am 36 and I smoke. Does that rule out the pill?

The combined pill, yes — over 35 and smoking is a contraindication because of clot and cardiovascular risk.

Everything else remains available, and this is as good a reason as any to talk about stopping smoking, where NHS services are free and roughly triple your chances.

I have been bleeding since I started. Is it not working?

Almost certainly it is working — unscheduled bleeding in the first three months is very common and usually settles.

It is the commonest reason people abandon a method that would have suited them. If it persists past three months, come back — there is usually a fix.

What if I miss a pill?

The rules differ between the combined and progestogen-only pill, and the leaflet in the packet has them. Broadly: take it as soon as you remember, and use condoms for seven days if more than one was missed on the combined pill.

Vomiting within 2–3 hours or severe diarrhoea counts as a missed pill. Ring us rather than guessing.

Does anything stop it working?

Yes — several antiepileptics, rifampicin, and St John's Wort, which is bought over the counter and causes unintended pregnancies every year.

Most antibiotics do not, contrary to what many people were told years ago. Tell the GP everything you take, including supplements.

Can I run pills together and skip periods?

Yes, and for many women it is a better regimen. Tailored and continuous use of the combined pill is now standard practice, and the monthly bleed on the pill is not a real period and serves no medical purpose.

It is worth asking about if you get headaches or heavy bleeding in the pill-free week.

Will contraception affect my fertility later?

No. Fertility returns quickly after stopping the pill, coil or implant — often immediately.

The injection is the exception, where return of fertility can take up to a year. Worth knowing if you are planning a pregnancy in the near future.

Dr Mohammad Zubair Khan, GMC-registered private GP and founder of Cheshire Clinics

Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469

Last reviewed

August 23, 2026

How it works

What happens when you book

£40 for a 20-minute appointment with a GMC-registered GP, 6am to 10pm, seven days a week. Membership is optional and never required.
Cheshire Clinics online GP appointment booking confirmation on mobile
01

Book your appointment

Pick a time that suits you — 6am to 10pm, seven days a week, including weekends and bank holidays. £40 for 20 minutes, self-pay, with no insurance to arrange.
5–10 minutes
Online video consultation with a GMC-registered private GP
02

Meet your GP

A 20-minute video or phone consultation with a GMC-registered GP — long enough for a proper conversation about your symptoms, your history and what matters to you.
20 minutes
Diagnostic testing plan including blood test panel, ECG and urine screening
03

Tests and referrals, if you need them

Where testing will actually answer the question, we arrange it — blood tests and health screening through our laboratory partner, or a referral for ultrasound, X-ray, CT or MRI through private imaging providers. We will also tell you when a scan is not the right next step.
1–7 days
Personalised results and treatment plan from a private GP consultation
04

Results and next steps

Your GP talks you through what the results mean and agrees the next step with you. Every consultation ends with your treatment plan in writing, and any prescription goes to your own pharmacy.
20 minutes
GP follow-up reminder for ongoing care and progress monitoring
05

Ongoing care and follow-up

Follow-up appointments, progress monitoring and ongoing advice — including saying plainly when something needs in-person or NHS care instead.

Ongoing

How we compare

Time to be seen

Appointment length

Your NHS record in the room

Written treatment plan

Told when a test isn’t needed

Cost

Varies by practice

Typically 10 minutes

Yes, your full record

Not routinely

Usually

Free

Same day

Often 10 to 15 minutes

Usually not

Sometimes charged

Varies by provider

Often a subscription

Questions about our service

How quickly can I be seen?

Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.

Will I see the same doctor each time?

Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.

Can you see my NHS records?

Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.

Are you trying to replace my NHS GP?

No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.

What is included in the appointment?

Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.

How much does it cost?

£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.

What does “treatable online” actually mean?

It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.

Can you prescribe antibiotics?

Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.

What if the GP cannot help with what I need?

If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.

What should I do in an emergency?

Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.

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