Contraception

Women’s health specialists at REMEDI HEALTH in Winchester can help advise and support your contraceptive needs.

Contraception helps to prevent pregnancy although it can have other uses like managing painful periods and fluctuating hormones.

And for those situations where your regular contraception has not worked or you have been caught up in the moment, then emergency contraception is available. For these time-sensitive, emergency situations when you have not been adequately protected from pregnancy, we can provide the back-up you need. 

You can talk to us in confidence.

 

Book a Contraception Consultation

The first consultation will be for up to 30 minutes to allow us enough time to take a clinical history, explore what would work best for you and supply treatment if required.

Choose a date and time from the calendar, enter your details and confirm what your consultation is for.

A payment of £30 secures your appointment, with the balance paid in-clinic.

15 minutes @ £30 (suitable for follow-up)
30 minutes @ £60 (suitable for first appointment)

Follow-up consultations for future checks can be made by arrangement with the REMEDI HEALTH reception team.

Medication treatment costs are additional, and will be quoted during your consultation.

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Safe, private clinic

Our beautiful award-winning clinic is in the centre of Winchester and we look forward to welcoming you. Keeping you and others safe is our priority and so if you are unwell, please let us know in advance and we will make appropriate arrangements.

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Trained clinicians

Your appointment will be with a trained clinician in one of our private consultation rooms at our clinic in Winchester. Your consultation will be dealt with sensitively and in confidence, and by someone who has trained in women’s reproductive health.

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Private Pharmacy

We operate within a registered private pharmacy which means that, depending on the outcome of the consultation, we can discuss and provide any required treatments, tests or referrals as appropriate. You can also be assured that we work within a strict governance framework.

About this service

We start with a consultation to understand more about you, your medical history and what you are looking for. Together we can work out the best method for your life and body, and if it’s the combined oral contraceptive pill or progestogen only pill, then we can prescribe for you without requiring a GP appointment.

Emergency Hormonal Contraception always available.

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About the Contraception Consultation

There are many types of contraception available and none are perfect. By listening and then advising, we hope to find the method that is most appropriate for you. If you are better suited to Long Acting Reversible Contraception (LARC) such as the injection, implant or coil, then we can signpost you to an appropriate service. 

We can provide you with either the combined oral contraceptive pill or progestogen only pill. We can also supply Emergency Hormonal Contraception (the ‘morning after pill’) up to 5 days after uprotected sex.

Our clinicians will advise you on the pros and cons of different options, how the pills work and any side effects. We can also provide advice for women who are breastfeeding, approaching menopause and with other health conditions.

Following a detailed consultation, and in agreement, we supply the apropriate oral contraception from our private pharmacy.

Combined Oral Contraception

The combined oral contraceptive pill (COC) is often just called ‘the pill’. It contains artificial versions of female hormones oestrogen and progesterone, which are produced naturally in the ovaries.

If sperm reaches an egg (ovum), pregnancy can happen. Contraception tries to stop this happening usually by keeping the egg and sperm apart or by stopping the release of an egg (ovulation).

Some key points about the COC:

  • When taken correctly, the pill is over 99% effective at preventing pregnancy. This means that fewer than 1 in 100 who use the combined pill as contraception will get pregnant in 1 year.
  • The standard way to take the pill is to take 1 every day for 21 days, then have a break for 7 days, and during this week you have a bleed like a period. You start taking the pill again after 7 days.
  • You may be able to take some types of pill with no or shorter breaks (a tailored regime), which may reduce some side effects.
  • You need to take the pill at around the same time every day. You could get pregnant if you do not do this, or if you miss a pill, or vomit or have severe diarrhoea.
  • Some medicines may make the pill less effective. We can advise you about any current or future medication.
  • If you have heavy periods or painful periods, PMS (premenstrual syndrome) or endometriosis the combined pill may help.
  • Minor side effects include mood swings, nausea, breast tenderness and headaches – these usually settle down in a few months.
  • There is no evidence that the pill will make you gain weight.
  • There’s a very low risk of serious side effects, such as blood clots and cervical cancer.
  • The combined pill is not suitable if you are over 35 and smoke, or if you have certain medical conditions. We can advise you on alternative options such as the ‘mini-pill’.
  • The pill does not protect against sexually transmitted infections (STIs), so use a condom as well.
  • There may be a link between the pill and depression but evidence is mixed and further research is needed.
Progestogen Only Pill (POP)

The traditional progestogen-only pill (POP) prevents pregnancy by thickening the mucus in the cervix to stop sperm reaching an egg.

The desogestrel progestogen-only pill can also stop ovulation.

The progestogen-only pill needs to be taken every day to work.

Some key points about the POP:

  • If taken correctly, it’s more than 99% effective. This means fewer than 1 in 100 who use the progestogen-only pill as contraception will get pregnant in 1 year.
  • With ‘typical use’ of the progestogen-only pill (the way it’s taken by a lot of women in real life), it’s only about 91% effective.
  • You take a pill every day, with no break between packs of pills.
  • The progestogen-only pill can be used if you cannot use contraception that contains oestrogen. For example if you have migraines or are older.
  • You can take the progestogen-only pill if you’re over 35 and you smoke.
  • You must take the progestogen-only pill at the same time each day. If you take it more than 3 hours late (traditional progestogen-only pill) – or 12 hours late (desogestrel pill) – it may not be effective.
  • If you’re sick (vomit) or have severe diarrhoea, the progestogen-only pill may not work.
  • Some medicines may affect the progestogen-only pill’s effectiveness. We will advise you about any current or future medicines.
  • Your periods may stop or become lighter, irregular or more frequent.
  • Side effects may include spotty skin and breast tenderness – these should clear up within a few months.
  • You’ll need to use condoms as well as the progestogen-only pill to be protected against sexually transmitted infections (STIs).
Emergency Hormonal Contraception or 'Morning After Pill'

Emergency contraception can prevent pregnancy after unprotected sex or if the contraception you have used has failed – for example, a condom has split or you have missed a pill.

There are 2 types of emergency contraception:

  • the emergency contraceptive pill (EHC) – Levonelle or ellaOne (the ‘morning after’ pill)
  • the intrauterine device (IUD or coil)

Some facts about EHC:

  • You need to take the emergency contraceptive pill within 3 days (Levonelle) or 5 days (ellaOne) of unprotected sex for it to be effective – the sooner you take it, the more effective it’ll be.
  • The IUD can be fitted up to 5 days after unprotected sex, or up to 5 days after the earliest time you could have ovulated, for it to be effective.
  • The IUD is more effective than the contraceptive pill at preventing pregnancy – less than 1% of women who use the IUD get pregnant.
  • Taking the emergency contraceptive pills Levonelle or ellaOne can give you a headache or tummy pain and make you feel or be sick. We can advise you about how likely this is and what to do to help.
  • The emergency contraceptive pill can make your next period earlier, later or more painful than usual.
  • There are no serious side effects of using emergency contraception.
  • Emergency contraception doesn’t cause an abortion.
  • EllaOne has been shown to be more effective than Levonelle – we can advise you on the most suitable option for you.
Long Acting Reversible Contraception (LARC)

Long-acting reversible contraception (LARC) is the term used for birth control that helps prevent pregnancy after just one treatment.

There are a few different options to choose from, so you can make sure you use the one that’s right for you and your lifestyle. And because they can be reversed at any time, changing your mind about using them isn’t a worry either.

But remember – while LARC will protect you against pregnancy it will not protect you against sexually transmitted infections (STIs). So it would be sensible to keep using condoms to protect yourself against STIs.

There are four different types of LARC:

Contraceptive injection – this is a simple injection into a muscle on the top part of your bottom. Once done, you don’t have to worry about getting pregnant for around 13 weeks.

Contraceptive implant – the implant is a small, flexible rod that’s placed under the skin in your upper arm and can be left for up to four years. It works by releasing the hormone progestogen which stops the ovary from releasing an egg and thickens the cervical mucus to make it difficult for sperm to enter the womb. 

Coil with hormones (IUS or LNG-IUD)- this is a small, T-shaped device that’s placed inside the womb. Once in place, you don’t have to worry about getting pregnant for five years. The Mirena coil can also be used as the progetogen part of hormone replacement therapy.

Coil without hormones (Cu-IUD) – this is a small device that’s inserted into the womb. Once in place you don’t need to worry about getting pregnant for five to 10 years, depending on the type used. The coil stops sperm reaching an egg and can also stop a fertilised egg from implanting.

Can we help you?

Our team are standing by to help you with any questions or queries that you may have. We can advise you on the best test, product or service for your requirements.