Contraceptive Advice and Sexual Health

Emergency Contraception

The sooner you act after having unprotected sex, the better. Emergency contraception is a way of preventing pregnancy after you have had sex without using contraception or when contraception has failed. If you take emergency contraception (morning-after pill) or have an intrauterine device (coil) fitted within 5 days it will usually prevent pregnancy.

Emergency contraception does not cause an abortion and it does not protect you from sexually transmitted infections. Please note that emergency contraception (morning after pill) can be obtained from most pharmacies.

Choice of Contraception

For any questions you have about choices of contraception, please visit www.nhs.uk/contraception.

All of our Doctors can prescribe pills, rings, patches and injections. For further information, please contact the practice by completing our online form.

Your Contraception Guide

You can get contraception free of charge, even if you’re under 16, from:

  • Contraception Clinics
  • Sexual Health or GUM (genitourinary medicine) Clinics
  • Some GP Surgeries
  • Some young people’s services

You can find your nearest Sexual Health Clinic by visiting www.nhs.uk/find-a-sexual-health-clinic.

Coil Fit or Re-Fit Guidance

Before you attend for a coil fit or re-fit, please read our guide below:

Timing of coil fit

Before a coil can be fitted, the GP must be reasonably certain you are not already pregnant. Please continue regular, effective contraception up until your coil fitting.

Coil replacement

If you are having a coil removed and a new coil replaced please avoid sex or use condoms for 7 days before the procedure. In a small number of women it isn’t possible to refit the coil and if unprotected sex has taken place in the preceding 7 days there is a risk of pregnancy.

If you are attending for a replacement coil and your coil change is overdue you are advised to use an alternative form of contraception e.g. condoms. In some cases a negative pregnancy test, after at least 3 weeks of contraception/abstinence, may be required before the coil can be changed.

Risk of infection / Infection screening:

If there is infection present in the genital tract at the time of coil insertion, fitting a coil can make the infection more serious. If you or your partner have other sexual partners, or you are in a new relationship, it is advisable to have a sexual health screen before the coil is inserted.

Pain relief

During coil insertions some women experience discomfort, like period cramps. You may wish to take painkillers an hour before the procedure to reduce this.

Practical considerations

Please allow around 30 minutes for the appointment.

Young children can be accommodated, but it is safer and more comfortable if you can attend without them or bring somebody to help you care for them while you are having the coil fitted.

Free Condoms

Condoms are available for free from your local Sexual Health Clinic and from other sexual health organisations.

The Get it On Condom Distribution (C-Card) Scheme is a free and confidential condom distribution network for young people aged 13–24 years old in Surrey.
Providing regular, easy and confidential access to condoms, contraceptive and sexual health information, and signposting to sexual health services in places you already go such as youth centres or colleges.

They may also be available from the practice.

Gender Dysphoria

People who have gender dysphoria:

  • Experience distress, anxiety, uncertainty and persistently uncomfortable feelings about their biological sex not fully matching their gender identity (the gender they see themselves as)
  • Have, and may act on, a gender identity which is different from their anatomical sex. For example, someone born with female sex characteristics deciding to live permanently as a man

Gender dysphoria is a recognised medical condition, for which treatment is sometimes appropriate. It is not a mental illness.

LGBT Foundation

The LGBT Foundation is a national charity delivering advice, support and information services to lesbian, gay, bisexual and trans (LGBT) communities.

Marie Stopes UK

Marie Stopes UK have been helping people with their reproductive health options for over 40 years. They provide NHS-funded and self-funded abortion and vasectomy care through their network of local clinics all over England.

Whenever you need them, they are there – you can call their booking and advice line 24 hours a day, 7 days a week on 0345 300 8090. You can also view their website at: www.mariestopes.org.uk.

Sexually Transmitted Disease

Sexually transmitted infections (STIs) are passed from one person to another through unprotected sex or genital contact.

You can be tested for STIs at a Sexual Health Clinic, Genitourinary Medicine (GUM) Clinic or GP Surgery. Search for a Sexual Health Clinic near you and find out what services they offer.