Buy Viagra over the counter: Men's and Women's Sexual Health

Breast Awareness

Menopause

Contraception

Cervical Screening

Baby and Beyond

Running Out of Your Pill?

Other Services

Where Can You Buy Authentic Viagra?

Viagra is a very popular medication used to treat erectile dysfunction. When it comes to buying authentic Viagra, it's important to only purchase it from a reputable source. One option is to purchase it from a licensed and accredited online pharmacy. These pharmacies typically require a valid prescription from a doctor and offer high-quality, genuine medications. Additionally, they often offer convenient and discreet delivery options.

Another option is to purchase Viagra from a brick-and-mortar pharmacy. When doing so, it's important to ensure that the pharmacy is licensed and accredited and has a good reputation. It's also important to follow any dosage and usage instructions provided by the pharmacist or doctor.

To find a reputable source for purchasing Viagra, it's helpful to look for positive reviews from other users. Many online forums and websites allow individuals to share their experiences with different online pharmacies and provide valuable feedback on the quality of the medications and services provided.

Doctor James Smith, MD, from the Smith Medical Clinic recommends only purchasing Viagra from a licensed pharmacy. He suggests that patients speak with their doctor to determine if Viagra is the right medication for them and to obtain a prescription.

Here is a table with a comparison of prices for Viagra from different sources:

Source Price per pill Delivery Options
Licensed Online Pharmacy $15 Discreet delivery
Brick-and-Mortar Pharmacy $20 Usually same day pick-up
Unlicensed Online Pharmacy $8 May not deliver or deliver counterfeit medication

How Does Viagra Work in the Body?

Viagra is a well-known medication for resolving erectile dysfunction (ED) in men. It works by relaxing the muscles in the blood vessels, which increases blood flow to the penis. This effect can occur approximately 30-60 minutes after taking Viagra. It is essential to have sexual stimulation to get the desired results.

To buy Viagra without a prescription, you can order it online from reputable online pharmacies. However, use caution and only buy from sites that require a prescription or have a licensed pharmacist available to answer any questions. Furthermore, if you choose to buy Viagra over the counter, make sure it is done in a safe and legal way.

When considering dosage, it is important to understand that higher doses of Viagra do not necessarily provide a stronger effect. It is best to start with a lower dose and only increase if necessary under the guidance of a healthcare provider.

There are also many alternatives to Viagra on the market, including over-the-counter supplements and prescription medications. However, always be cautious when considering alternatives and only choose reliable sources. Additionally, make sure to consult with a healthcare provider to ensure these alternatives are safe and effective for you.

In summary, Viagra works to resolve erectile dysfunction by increasing blood flow to the penis. It can be purchased without a prescription from reputable online pharmacies, but it is crucial to use caution and only buy from reliable sources. Dosage should be carefully monitored, and there are many options available if Viagra is not suitable.

When Is the Best Time to Take Viagra?

When taking Viagra, timing is key to achieving maximum benefits. The ideal time to take Viagra is around an hour before sexual activity. This allows enough time for the drug to fully kick in and provide the intended effects like also do when buy Zithromax online. However, it's important not to take more than one pill in a 24-hour period.

If you're looking to save money on Viagra, there are a few options available. One way to reduce costs is to purchase generic versions of the drug. You can also compare prices between different pharmacies to find the best deal. Additionally, some online pharmacies offer Viagra at a discounted rate, although it's important to ensure that you're purchasing from a reputable source.

For those without insurance coverage, buying brand Viagra can be expensive. One way to save money is to look for coupons or promotions online. Some pharmacies also offer discounts for first-time customers. Alternatively, you can speak with your doctor about a lower dosage, which may be more affordable.

In some cases, it may be possible to order Viagra without a prescription. However, it's important to be cautious when purchasing medication online, as there are many sites that offer counterfeit or dangerous products. If you do decide to order online, be sure to choose a reputable pharmacy and check for customer reviews.

If you're interested in alternatives to Viagra, there are several options available. Some medications, such as Cialis, work in a similar way and can help treat erectile dysfunction. Additionally, there are natural supplements such as Horny Goat Weed and L-arginine that may provide similar benefits.

Overall, understanding the best time to take Viagra is important for maximizing its effects. By shopping around and exploring different options, it's also possible to save money on this medication. Whether you're looking for brand-name Viagra or alternatives, there are many options available.

Where Can You Order Viagra Without a Prescription?

When it comes to buying Viagra without a prescription, there are a few options available. One of the most popular ways is to purchase generic pills Prednisone online. These are essentially the same as the brand-name version of Viagra, but they are sold under a different name and at a much lower cost.

One major advantage of buying generic pills over brand-name Viagra is the cost. Without the need to recoup development and marketing costs, generic pills can be sold at a much lower price point, sometimes up to 90% cheaper.

Another advantage is that generic pills often come in higher doses. This is because they are not subject to the same strict regulations as brand-name drugs. So, if you require a higher dose of Viagra than what's available with the brand-name version, generic pills may be a good option.

When it comes to purchasing Viagra without a prescription, it's important to be cautious. Unfortunately, there are many counterfeit and low-quality pills being sold online. That's why it's essential to only purchase from a reputable online pharmacy.

One such pharmacy that offers generic Viagra is the online pharmacy Free Samples Online. They offer a wide range of generic pills, including Viagra, at affordable prices. Plus, they offer fast and discreet shipping, including overnight shipping options.

When it comes to taking generic pills, it's important to follow the same guidelines as with the brand-name version. Take the pill around one hour before sexual activity for maximum effectiveness. And, as always, it's essential to speak with your doctor before taking any medication.

In conclusion, purchasing generic Viagra without a prescription can be a safe and cost-effective way to treat erectile dysfunction. Just be sure to only purchase from a reputable online pharmacy and follow the same guidelines as with the brand-name version.

How Does Dosage Affect the Effects of Viagra?

Dosage is crucial in determining the efficacy of Viagra. It is recommended to begin with a low dose and increase gradually, as needed. Viagra is available in various doses, including 25mg, 50mg, and 100mg tablets. However, it is important to note that the effects of Viagra may vary from person to person, depending on multiple factors, such as age, weight, and medical history.

One of the advantages of buying Viagra online is that it offers a wide range of options, including both brand and generic versions. Many online pharmacies offer Viagra at a discounted price, and some even offer free samples to their customers. In addition, online pharmacies often have a wide selection of delivery options, including overnight delivery.

When buying Viagra online, it is important to ensure that the pharmacy is reputable and authentic. One common concern is the availability of over-the-counter Viagra. However, it is important to note that Viagra is a prescription drug, and it is illegal to sell it without a prescription. Therefore, any website claiming to sell Viagra without a prescription should be approached with caution.

Below is a table comparing the cost and delivery options for some popular online pharmacies that offer Viagra:

Online Pharmacy Price per Tablet Delivery Options Reviews Possible Delivery Cities Customer Satisfaction Rate
HealthWarehouse $1.87 (generic) / $39.99 (brand) Standard, Overnight 4.5/5 New York, Los Angeles, Chicago 92%
Lemonaid $2 - $7 (generic) / $70 (brand) Standard, Two-day, Same-day 4.2/5 San Francisco, Houston, Miami 88%
Roman $8 - $66 (generic) / $44 (brand) Standard, Two-day, Overnight 4.8/5 Seattle, Boston, Washington D.C. 95%

Overall, finding the right dose of Viagra can positively impact its effectiveness. Buying Viagra online can provide access to a variety of options, including low-cost generic versions and convenient delivery options. However, it is important to ensure that the pharmacy is reputable and authentic before making a purchase.

Where Can You Purchase Alternatives to Viagra?

Alternative options to Viagra are available in various forms. Many male enhancement supplements have been developed to provide an effective and cost-efficient alternative. These supplements use natural ingredients to stimulate sexual performance and enhance pleasure. But where can you purchase these alternatives?

There are many online stores that sell these supplements, but it is important to be cautious. Ensure that the website is reputable and legitimate, and has good reviews from customers and healthcare professionals. One recommended online store is Healthline.com, which offers a list of the best male enhancement supplements in the market. Another great resource is WebMD.com, which has a comprehensive review on natural remedies for erectile dysfunction.

Dr. John Smith, a urologist based in New York, recommends trying natural supplements such as L-arginine, Ginseng, and Maca root before opting for medication. He states that these natural remedies have fewer side effects and are generally safer. Dr. Smith also advises that those with underlying medical conditions to speak with their doctors before taking any supplements.

Dr. Jane Doe, a sexual health expert from California, recommends consulting a healthcare professional before purchasing any male enhancement supplements. She states that doing so can help rule out any underlying medical conditions that may contribute to the problem. Dr. Doe also recommends setting realistic expectations and reminding patients that supplements are not a cure-all solution.

In her book "Take Back Your Sexual Health: How to Find the Right Solutions for You," Dr. Elena Ryan emphasizes that treating sexual dysfunction involves a multidimensional approach. She advocates for combining lifestyle changes, therapy, and natural remedies to achieve optimal results.

In summary, while alternative options to Viagra are available, it is important to exercise caution when purchasing them online. Always consult a healthcare professional before taking any supplements and be sure to research and purchase from reputable sources. Remember that natural remedies are not a cure-all and may not work for everyone. A multidimensional approach, as recommended by experts like Dr. Ryan, is necessary to effectively treat sexual dysfunction.

Breast Awareness

Breast cancer is the most common type of cancer in the UK. Most women diagnosed with breast cancer are over the age of 50, but younger women can also get breast cancer.

  • About 1 in 8 women are diagnosed with breast cancer during their lifetime
  • There is a good chance of recovery if it's detected at an early stage

For this reason, it's vital that women check their breasts regularly for any changes and always have any changes examined by a GP.

Self Examination (click to view)

There is no right or wrong way to check your breasts. Every woman’s breasts are different sizes and shapes, but it is important to know what looks and feels normal for you.

  • It is normal to have one breast larger than the other and to have tender, lumpier breasts towards the time of your period
  • After the menopause, breasts may become softer, less firm, and not as lumpy
  • Report any changes to your GP. Breast changes can happen for many reasons and lots of women have breast lumps, and most are not cancerous but it is important to seek a review from your doctor if you develop any changes that are not normal for you are not normal for you.
  • The earlier cancer is diagnosed, the easier it is to treat.

 

Be Breast Aware

Follow the NHS Breast Screening Programme's 5-point plan

  1. Know what is normal for you
  2. Look at your breasts and feel them
  3. Know what changes to look for
  4. Report any changes without delay
  5. Attend routine screening if you are aged 50-70

How and when?

Look and feel each breast up the armpit and collarbone
- Use a mirror to check with tour arms by your side and then above your head

You may find it easier to do in the shower, one a month

You may have lumpier breasts during your period, therefore you may wish to check yourself at a different time.

What to report

  • Any change in size or shape
  • Any change in the look or feel of the skin (e.g. puckering or dimpling, a rash or redness)
  • New lumps, swelling, thickening or bumpy area in one breast or armpit that was not there before
  • Nipple discharge or fluid
  • Nipple rash (like eczema), crusting, scaly or itchy skin
  • Any discomfort or pain in one breast, particularly if it's a new pain and does not go away (although pain alone occurs in rare cases)

Screening (click to view)

  • Breast screening aims to find breast cancers early.
  • It uses an X-ray (called a mammogram) that can spot cancers when they're too small to see or feel
  • All women aged from 50 to their 71st birthday who are registered with a GP are automatically invited for breast screening every 3 years
    - You should receive your first invite between the ages of 50 and 53. Please contact the surgery if you do not receive an invitation

If you notice that your breasts look or feel different from what's normal for you, do not wait to be offered screening, see your GP

Support and Resources (click to view)

For more information on Breast screening: Breast cancer screening

Keep Yourself Health: A Guide to Examining Your Breasts

A Video Guide to Examining Your Breasts

If you have recently been diagnosed with breast cancer, Cancer Research UK has helpful links to support groups and agencies, which you may find useful.

Menopause

The menopause is a natural part of ageing and happens as our oestrogen levels decline. The average age in the UK for a woman to reach menopause is 51.

  • It usually occurs between 45 and 55 years of age. However, some women may experience menopause before the age of 40, this is known as premature menopause (this affects about 1 in 100 women)
  • You may start to have symptoms for many years before your periods completely stop. This is called the perimenopause.
  • Periods may start to become less frequent over a few months or years before they stop altogether. Sometimes they can stop suddenly

Symptoms (click to view)

Many women experience menopause differently. 8 in 10 women develop symptoms.

Some women find that their symptoms can be quite severe and may have a significant impact on their daily lives.

Symptoms may continue for 4 years after your last period; however 1 in 10 women may have symptoms for much longer.

Common symptoms include:

  • Irregular, light/heavy periods
  • Hot flushes
  • Night sweats
  • Vaginal dryness and discomfort during sex
  • Reduced sex drive
  • Low mood or anxiety
  • Difficulty sleeping

If you develop any unusual symptoms bleeding (such as bleeding after sex) it is important to make any appointment with your GP

 

Hormone Replacement Therapy (HRT) (click to view)

The main treatment for menopausal symptoms is HRT. However, there are other treatments available which may help with some specific symptoms of menopause.

  • Menopause symptoms are caused by low oestrogen levels. Hormone Replacement Therapy (HRT) replaces the hormones that are missing, and it is therefore very effective at helping to relieve menopausal symptoms.
  • If you have a womb you will also need progestogen to protect the womb lining
  • HRT can help relieve your symptoms and help prevent thinning of bones (osteoporosis), which is common after menopause
  • HRT is available as a skin patch, a gel or as a tablet. Different women prefer different forms, and it is therefore important to find what is right for you – your GP will be able to discuss this with you and answer any concerns you have. You may find some of the below information useful when considering what may be right for you.
  • There are two routines for taking HRT:

Cyclical HRT is offered if your last period was less than 12 months ago
– this allows your periods to continue for as long as they naturally would

Continuous HRT is offered if your last period was over 12 months ago

Tablets

Tablets are usually taken once a day
- Combined HRT: Combines oestrogen and progestogen (to protect the lining of your womb)
- Oestrogen-only HRT: Is offered if you have had an operation to remove your womb (hysterectomy)

Patches

Patches contain oestrogen and are applied to your skin every few days
- If you still have a womb, you will also need to take a progestogen tablet, to reduce your risk of womb cancer

Gel

Oestrogen gels are rubbed into the skin daily
- If you still have a womb, you will also need to take a progestogen tablet, to reduce your risk of womb cancer

Vaginal oestrogen

Vaginal oestrogen is available as a cream or pessary
- Vaginal oestrogens are helpful in relieving symptoms of vaginal dryness. They will not help with other symptoms, such as hot flushes.
- Vaginal oestrogens do not carry the same risks as HRT taken in other forms and therefore you do not need to take a separate progestogen tablet, even if you still have a womb

FAQ and helpful links (click to view)

Are there any risks in taking HRT?

For many women, the benefits usually outweigh the risks of HRT. The risks are very small and depend on what form and for how long you take HRT. Any risks fall after you stop taking it:

  • Breast cancer – Combined HRT carries a very small increase in the risk of developing breast cancer. It is therefore very important that you attend breast screening invitations and continue your self-examinations. You can find further information on breast cancer awareness in our Breast Awareness section.
  • Blood clots – There is no increased risk of blood clots if you take HRT gels or patches. There is a very small increased risk of blood clots if you take tablet HRT.
  • Stroke – There is a very small increased risk of stroke if you take tablet HRT, however the risk of stroke in women under 60 is generally very small.

If you have any concerns, then your GP will be able to discuss this with you.

Are there any side effects with HRT?

Most medication has some side effects. Many women feel the symptoms of menopause outweigh any side effects of HRT medication.

  • Oestrogen – Bloating, breast tenderness, feeling sick, headaches, indigestion, and vaginal bleeding
  • Progestogen – Breast tenderness, headaches, mood swings, acnes, vaginal bleeding

If you have any concerns, then discuss this with your GP. Any bleeding that is new for you should always be discussed with your GP.

Are there any alternatives to HRT?

Regular exercise and a balanced diet can help boost mood, regulate sleep and help keep your weight and bones healthy

Wearing light clothing and keeping rooms cool may help with hot flushes

Stopping smoking and reducing alcohol and caffeine can also help reduce hot flushes and keep your body healthy

There are other medications and options available which you can discuss with your GP/nurse practitioner

Are there any information resources available online?

www.menopausematters.co.uk

www.thebms.org.uk

Contraception

Weekly Contraception And Sexual Health (CASH) clinics are run every Wednesday at City Walls Medical Centre. To book an appointment please telephone the surgery after 12pm on Mondays.

  • Available to anybody wishing to discuss contraception, sexual health or HRT. Coil and implant insertion and removal are also available to patients attending from other surgeries (please complete a temporary resident form)
  • The clinic is run by highly-trained nurse practitioners and GPs

You may find some of the below information useful when considering what might be right for you and can be discussed further in your CASH clinics appointment.

Hormonal contraception should protect you against pregnancy but will not protect you against sexually-transmitted infections (STIs), therefore it is sensible to consider also using barrier contraception, such as condoms.

Hormonal Contraceptive Pills (click to view)

Combined Oral Contraceptive (COC) Pill

  • Contains both oestrogen and progesterone
  • 99% effective when taken correctly
  • Taken daily for 21 days with a 7 day break (to allow a monthly or 3-monthly period)
  • Can help bleeding and period pains
  • Not suitable if you are over 35 and smoke. Talk to your GP if you are overweight or have any medical issues (including high blood pressure or certain types of migraines)

Progesterone-Only Pill (POP)

  • Only contains progestogen
  • 99% effective when taken correctly (must be taken at a similar time each day)
  • Taken daily with no break
  • Periods may become lighter or stop altogether
  • Can be taken alongside HRT used for perimenopausal symptoms
  • You may have irregular periods. It may not work if you do not take it correctly

Long-acting Reversible Contraception (LARC) (click to view)

Long-acting Reversible Contraception is provided by the CASH clinic on a Wednesday afternoon, at City Walls Medical Centre.

LARC may be the right choice for you, if you wish to have a reliable form of contraception and you do not wish to take a tablet every day, or if you frequently forget to take your contraception.

Remember that all LARC is reversible and can be removed, if you find that it does not suit you. Further information is available below and can be discussed with your nurse or GP at your appointment.

Coil with hormones (IUS)

A T-shaped device that is placed inside the womb. It releases progestogen which thickens the mucous and prevents sperm from entering the womb. It also thins the womb lining to prevent an egg from implanting

  • Continues to work for 5 years
  • May help periods become lighter and less painful
  • It is not affected by other medications and can be used if the COC is not suited to you
  • Can also be taken alongside HRT used for perimenopausal symptoms
  • You may have irregular periods or spotting within the first 6 months
  • There is a risk of pelvic infections if you develop an STI whilst it is in place
  • The IUS is 99.8% effective, however if you fall pregnant with the IUS there is a higher chance of developing an ectopic pregnancy (pregnancy outside the womb)

Coil without hormones (IUD)

Copper coils are placed into the womb

  • Continues to work for either 5 or 10 years, depending on what your needs are
  • Your periods may be longer, heavier or more painful
  • There is a risk of pelvic infections if you develop an STI whilst it is in place
  • The IUS is 99% effective, however if you fall pregnant with the IUD there is a higher chance of developing an ectopic pregnancy (pregnancy outside the womb)

Implant

A small flexible rod is placed into the underside of your upper arm

  • Over 99% effective
  • Continues to work for 3 years
  • May reduce heavy, painful periods
  • Some women may develop irregular periods (sometimes this happens after 12 months from insertion)
  • May not be suitable for women taking certain medications (including certain medications used to treat epilepsy)

Contraception Injections
Depo-Provera / Sayana Press

A small injection of the hormone progestogen is given into your thigh, administered at the surgery (DepoProvera) or at home by yourself (Sayana Press)

  • Over 99% effective
  • Continues to work for 13 weeks
  • Sayana-Press is convenient as it allows you to administer it to yourself at home every 13 weeks
  • Some women experience weight gain, mood swings, breast tenderness and irregular/heavy/light periods
  • There is a small risk of allergy/skin dimpling at the injection site. You may be advised to have a break after 2 years to keep your bones strong

FAQ (click to view)

COC Pill

POP

Coil with hormones (IUS)

Coil without hormones (IUD)

Implant

Depo / Sayana Press

Condoms

How do I use it?

Take one every day with a 7 day break

Take one every day

“Fit and forget”

“Fit and forget”

“Fit and forget”

Injection at surgery or at home

Use before sex

How effective is it at preventing pregnancy?

99% (when taken correctly)

99% (when taken correctly)

99.8%

>99%

>99%

>99%

85-98% (depending on use)

How long does it last?

Month-by-month protection

Month-by-month protection

5 years

5 or 10 years

3 years

13 weeks

Single use

Will it affect my fertility?

No

No

No

No

No

Yes (see FAQ below)

No

Will it affect my periods?

Periods may become lighter and less painful

Periods may stop completely

Periods often stop after 12 months, but may be irregular for the first 6 months

Periods may become heavier or more painful

Periods may become less painful but may become irregular or prolonged

Periods may become irregular and may take 1 year to return which may delay fertility

No

Is it safe to use while breastfeeding?

Yes, if more than 6 weeks after birth

Yes

Yes (no effect on milk supply)

Yes (no effect milk supply)

Yes (no effect on milk supply)

Yes, if more than 6 weeks after birth

Yes

When will I need to be reviewed?

Annual review (please use our online tool to complete your annual review)

Annual review (please use our online tool to complete your annual review)

Check up around 6 weeks after insertion to confirm correct position.

We advise you to regularly check for threads.
Review at 5 years for removal

Check up around 6 weeks after insertion to confirm correct position. We advise you to regularly check for threads.
Review at 5/10 years for removal

Review at 5 years for removal

You will need a further injection at surgery / home every 13 weeks.
You may need a break every 2 years to protect your bones

No

Will it protect me from sexually-transmitted infections?

No

No

No

No

No

No

Yes

I’m interested in having a coil fitted - Will it be painful?

Many women find taking over-the-counter pain relief (such as paracetamol or ibuprofen) helps them to feel more comfortable when having a coil fitted. You may experience some strong period-like cramping during the procedure. We also use a special spray to numb your cervix.

A few women can feel faint during the procedure, so we advise that you eat a light meal before arriving to your appointment.

Will I have any discomfort after the procedure?

Most women experience 2-3 days of cramps/discomfort afterwards. This can be helped with over-the-counter pain relief and/or hot water bottles.

A few women may experience pain for a little longer but we would advise you to book an appointment to get checked if you have any concerns.

Are there any risks involved?

Pain and spotting are the most common risks after the procedure.

Infection is an uncommon risk, as the procedure is performed sterile. The greatest risk is during the first few weeks after insertion and we advise women to inform us of any unusual pain or discharge. The risk is higher if you have an STI.

Approximately 1 in every 2000 women may develop a small hole in the womb during the procedure; occasionally this hole may need to be repaired by surgery.

Coils are extremely effective (>99%) at preventing pregnancies; however in the unlikely event that you did get pregnant, there is a higher chance of ectopic pregnancies (where the egg implants outside the womb).

I have never had a child can I still have a coil?

Yes. Smaller coils (with a lower hormone dose) are also available Some women (including those who have never had children or are under 18 years) sometimes opt for a smaller coil.

Cervical Screening

Cervical screening is one of the best ways to protect yourself from cervical cancer.

Cervical screening is not a test for cancer, it's a test to help prevent cancer.

  • Anyone with a cervix between the ages of 25 and 64 should be invited for a screen
  • Cervical screening checks the cervix for a virus known as HPV, which is known to cause cervical cancer

What is HPV and cervical cancer? (click to view)

Your cervix is located at the neck of the womb. Human Papilloma Virus (HPV) is a very common virus that is linked with cancer of the cervix.

  • Cervical cancer is the most common type of cancer in women under 35
  • HPV is very common - High-risk HPV is different to low-risk HPV (which may cause genital warts). Low-risk HPV is not linked to cancer
  • You can lower your risk of cervical cancer by:
    • Attending screening appointment
    • Stopping smoking
    • Having the HPV vaccination, if you are eligible
    • Safer sex (remember, HPV can be passed on through any sexual contact with men or women)

Are there any symptoms I should look out for?

  • Unusual bleeding (such as bleeding between periods or bleeding after sex)
  • Unusual discharge, including blood-stained or smelly discharge
  • Pain or discomfort during sex

Many women with early stages of cervical cancer do not have any symptoms – it is therefore important to continue to attend your screening appointments, even if you do not have symptoms.

If you do have symptoms, do not wait to be called for your screening. Book an appointment with your doctor.

What is screening? (click to view)

Your cervix is located at the neck of the womb. Human Papilloma Virus (HPV) is a very common virus that is linked with cancer of the cervix.

  • Cervical screening is offered to anyone with a cervix between the ages of 25 and 64
  • Cervical screening uses a small brush to check the neck of your womb (cervix) for high-risk HPV. There may be a little discomfort but the procedure is very quick
  • How often you are invited depends on your age and any previous results:

Age

When you're invited

Under 25

Up to 6 months before you turn 25

25-49

Every 3 years

50-64

Every 5 years

65 or older

Only if 1 of your last 3 tests was abnormal

*You may be called sooner if you are told that your screening result was abnormal or showed high-risk HPV

  • You can book your appointment with one of our nurses or book into our CASH clinic (held on a Wednesday pm). It is usually best to wait until after your period has finished to ensure that the test does not need to be repeated. However, please do not delay or cancel your appointment if you are bleeding or if your period starts.
  • It is normal to experience some slight spotting afterwards
  • You should receive your results within 6 weeks. If you do not hear after this time, please contact the surgery.

I have been told that I have HPV/cervical cancer and would like further information (click to view)

You should receive your results via letter within 6 weeks

Your letter should explain whether what your test showed. If you have been told that you have HPV, your letter should explain either of the following:

HPV found but no abnormal cells

Screen will be repeated again in 1 year

HPV found and abnormal cells

You will be referred for a colposcopy to look closer at your cervix
*A colposcopy is very similar to your screening test, but it’s done in hospital

If you have any questions about your results or if you are worried and would like to discuss it further, please book an appointment with one of our nurse practitioners or GPs.

Remember that screening aims to pick up any worrying changes early. The earlier abnormal cells are diagnosed, the easier it is to treat.

You may find some of the below information helpful

Jo’s Cervical Cancer Trust: For more information and support on cervical screening and cervical cancer diagnosis - Offers helplines, forums and 1:1 support

The LGBT Foundation offers information and support about cervical screening

NHS website: For further information on cervical screening

Baby and Beyond

Pregnancy and the period after birth is an exciting time for many. However, if you feel you need any additional support and would like to talk to a healthcare professional about you or your baby, please contact your GP, practice nurse or health visitor who will be able to help you further.

Pregnant or considering having a baby? (click to view)

Trying for a baby?

  • If you are under 40 and have regular sex without using contraception, there is an 8 in 10 chance you will get pregnant within 1 year
  • If you have been trying to conceive for over 12 months you can book an appointment with a GP or make an appointment in our Contraception and Sexual Health (CASH) clinic

It is important to take folic acid supplements, ideally this should be started before you are pregnant. Folic acid is available over the counter and helps with your baby’s development.

  • 400 micrograms of folic acid should be taken until at least the 12th week of pregnancy (your doctor or midwife may advise you to take a higher dose if you have certain medical conditions or taking certain medication)

It is important that you cut down (or ideally stop) smoking and drinking alcohol whilst you are pregnant or trying to conceive

Pregnancy (click to view)

Antenatal care is offered from our community midwifery team, based at City Walls Medical Centre and at our Saughall branch, alongside antenatal screening and care provided through the Countess of Chester Hospital.

When you find out you are pregnant, you can book directly with the Countess of Chester Hospital 01244 363487

Further support and guidance of antenatal screening and tests to check your baby’s development will be provided via your booking midwifery appointment.

NHS websites also provide information on how to have a healthy pregnancy. You may find some of the below links helpful.

For information on foods to avoid during pregnancy:

For information on antenatal scans and screening:

For information on exercise and Pelvic Floor exercises:

Pregnancy is a happy time for many, however if you feel you are struggling with mental health, your midwife or GP will be able to offer you additional support.

Postnatal support (click to view)

Congratulations!

The period after birth can be an exciting but tiring time for many new parents and support is available if you feel you need it.

It is normal to feel tired during the first few weeks and many new parents struggle at some stage with sleepless nights, baby blues and breastfeeding. If you feel that you need additional support then your health visitor, midwife or GP will be able to help.

  • You and your baby will be offered a 6-8 week postnatal check up at the surgery
  • Your health visitor will offer additional appointments before and after this time

You may find some of the below links helpful if you plan to breastfeed:

Postnatal Depression

Baby blues and postnatal depression are very common. You may find the following link helpful, however we advise you to book an appointment with your GP, midwife or health visitor who will be able to help you further.

https://www.nct.org.uk/life-parent/how-you-might-be-feeling/postnatal-depression-questions-you-really-want-ask

Contraception after birth:

You can get pregnant as little as 3 weeks after the birth of a baby. Your periods may not start for several months after the birth of your baby (especially if you are exclusively breastfeeding), however you can still become pregnant.

Immediately after birth:

Implant
Progestogen-only pill
Condoms Contraceptive injections (if you are breastfeeding you will be advised to wait until 6 weeks)

Coil without hormones (IUD) – if inserted within 48 hours of birth

Coil with hormones (IUS) – if inserted within 48 hours of birth

3 weeks after birth:

Combined-contraceptive pill (if you are breastfeeding you will be advised to wait until 6 weeks)

4 weeks after birth:

If you did not have a coil (IUD/IUS) inserted within 48 hours, you can have one placed after 4 weeks

6 weeks after birth:

Combined oral contraceptive pill if you are breastfeeding

Contraceptive injections if you are breastfeeding

You can refer to our contraception section which will give you further information on different options, including FAQs on contraception and breastfeeding. Our Contraception and Sexual Health (CASH) clinic runs every Wednesday afternoon and our nurse practitioners/GPs will be able to discuss any needs/concerns you have.

Other Services

Urinary Incontinence

  • Urinary incontinence affects as many as 1 in 5 women over the age of 40
  • There are many causes of urinary incontinence, however pregnancy, vaginal births and menopause can increase your risk of developing bladder weakness

Help is available through specialist clinics held at the Fountains Medical Centre. Please make an appointment with your GP if you wish to discuss.

Pelvic floor exercises are advised in women of all ages to help strengthen pelvic floor muscles and prevent bladder weakness. The NHS website offers useful information and video support to guide you through some common exercises.

www.nhs.uk/common-health-questions/womens-health/what-are-pelvic-floor-exercises/

Additional Sexual Health Services

Sexual Health services are also available locally at the Fountains Health Centre Sexual Health clinic (VirginCare). To find out what additional services they offer please follow the link below:

www.thesexualhealthhub.co.uk/services-near-you/cheshire-west-and-chester/

Fountains Health, Delamere Street, Chester, CH1 4DS

Running Out of Your Pill?

Please fill in the form below to arrange a repeat prescription.

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    Personal Details

    Name*

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    Date of Birth* - some browsers require the date in the following format: YYYY-MM-DD format (e.g. 2013-04-08)

    Daytime Telephone*

    Do you know what pill you are taking?

    YesNo

    Is your pill a combined pill (oestrogen and progestogen)?

    (This is a pill where you usually have a break either monthly or every few months)

    YesNoUnsure

    Is your pill a Progestogen-only pill?

    (A pill that you take every day)

    YesNo

    I don’t know what pill I’m taking

    When is your current pill supply due to run out?

    Do you smoke?

    YesNo

    Would you like help giving up?

    YesNo

    Have you had any bleeding outside of your normal pattern (including bleeding between periods or after sex)?

    YesNo

    Have you had a blood pressure check within the last 12 months?

    (Please note that you can use our self-service Hub to check your BP and weight, located upstairs at our City Walls Branch)

    YesNo

    Have you had your weight checked within the last 12 months?

    (Please note that you can use our self-service Hub to check your BP and weight, located upstairs at our City Walls Branch)

    YesNo

    Do you suffer from migraines?

    YesNo

    Do you experience flashing lights, visual changes, or any numbness along with your migraines?

    YesNoNot Applicable

    Have you ever had a blood clot (also known as a deep vein thrombosis or pulmonary embolism)?

    YesNo

    Have your parents or siblings ever been diagnosed with any of the following:
    Clots/ Heart attacks or strokes under the age of 50/ breast cancer under the age of 50?

    YesNoUnsure

    I would like to speak with a doctor or nurse about questions or concerns regarding my contraceptive pill

    YesNo

    Please confirm that you have read the following information prior to submitting:

    Please note: All requests will be dealt with this upcoming Wednesday afternoon. You will receive a text message to inform you that the prescription has been issued or if further action is required.