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.