Contraception and Sexual Health
Gloucester Road Medical Centre provides a wide range of contraceptive choices including pills, injections, implants and coils (both with or without hormones).
Please make an appointment to discuss your options, which may be with either a GP or nurse. Please discuss this with reception and they will be able to book you in with the right clinician.
We provide emergency contraception on the day as well as sexual health advice and free condoms for the under 25's. You can say if it's urgent but you don't have to say what it's about and we will fit you in that day. Free condoms are provided at GRMC under the C-Card scheme and once we have helped you register for this scheme you can use the many condom pick-up points throughout Bristol. Click here for the list or visit Unity Sexual Health.
If you think a coil might be a good option for you please ask reception for an appointment with one of our clinicians to discuss this.
Booking an appointment:
- After agreeing with your GP to proceed to a coil fitting please give your name to our reception team. We operate a short waiting list and you will be contacted by telephone to make an appointment for the fitting. Please advise the reception team if you wish a particular GP to undertake your coil fit.
- Please ensure we have your current contact details.
- Please ensure you continue effective contraception, or abstain from sexual intercourse, until the day of your coil fit.
- If you are having your existing coil re-fitted, please ensure you abstain from sexual intercourse for 7 days prior to your appointment.
On the day of your coil fit:
- If you have had any episodes of unprotected sexual intercourse, or missed pills, while you have been waiting for your coil fit, please advise the doctor of this on your arrival.
- Please advise the nurse of the date of your last normal menstrual period, and of any unscheduled bleeding.
- Please also report any unusual vaginal discharge or discomfort.
- If you have been called for a routine cervical smear this can be done at the same time as your coil fit, please advise the doctor or nurse if this is the case.
- Please avoid bringing small children to your coil fitting appointment.
- Coil fitting can result in some pelvic discomfort or light headedness. Please allow plenty of time for your appointment and ensure you have had a light breakfast on the day. The procedure is generally well tolerated by patients but you might like to use paracetamol or ibuprofen before your appointment. Ensure you have the opportunity to rest subsequently if needed.
- You may have some light bleeding and period-type discomfort for a few days after your fitting. Any more severe pain, or fever, or heavy vaginal discharge would be unusual and we would urge you to report this if that is the case.
- You will need to continue to use effective alternative contraception until 4 weeks after your coil fit, when your coil strings should be checked.
- If you are unable to feel your coil strings, please make an appointment for a coil check with a GP.
- the doctor will talk to you about how to check that your coil is in place following the procedure.
- If it is a difficult fitting, or you are unable to feel the coil threads yourself, then we will book you in for a clinician to do a coil check.
- You will be advised on the day how long you will need to use additional contraception for, as this depends on when in your cycle the coil is fitted and what contraception you are currently using.
All of our GPs and some practice nurses are able to advise you as to which contraceptive pill (combined pill or 'mini' pill) would best suit your needs. The practice nurses are then able to carry out your annual review.
Dr Kirsten Smith, Dr Michelle Jones, Dr Rhian Hiles and Sister Alison Wilkinson can all fit and remove contraceptive implants. If you are considering this option, please make an appointment with one of them to discuss it.
Gloucester Road Medical Centre offers contraceptive injections.
There are currently 2 available injections, one that is given by nurses or one that can be self administered- sayanna press after initial training, for more info please click here. The nurses are happy to discuss these options with you at an appointment Once you've seen a GP/ nurse to confirm this option is appropriate for you, please make an apointment with a practice nurse.
Information on other methods of contraception
These require detailed discussion and advice. Please see a GP if you would like further information.
Contraceptive choices after a baby
If you are concerned that you may need emergency contraception you should speak to a health care professional as soon as possible.
Gloucester Road Medical Centre operates a same-day telephone triage system for GPs and nurses. Patients requesting emergency contraception can be counselled and treated appropriately.
Alternatively, you can speak to your local pharmacist for advice or you can contact the Sexual Health Clinic (Unity) on 0117 342 6900.
Out of Hours
Patients may obtain advice by telephoning NHS 111 or by attending one of the NHS walk-in centres.
Emergency oral contraception is available to purchase over the counter from all pharmacies. Some pharmacists are able to dispense this free to patients under the age of 20.
A comprehensive list of these chemists is available from NHS 111, but our two local chemists, Soods (next door) and Ashgrove on Ashley Down Road are both able to offer this.
Packs are available at reception for both male and female chlamydia screening for anyone under 25. The results of these tests are sent to you confidentially, NOT to the practice. This is part of the national screening programme for all under 25 year olds.
For more information about chlamydia and the national screening programme please click here.
However we encourage all patients regardless of age to consider chlamydia and other STI testing. This can easily be arranged by speaking to one of our practice nurses.
Unity Sexual Health
Unity Sexual Health is a free and confidential service for Bristol, North Somerset and South Gloucestershire.
Appointments can be booked over the phone, and their website provides lots of helpful information about Contraception, STIs and Pregnancy.
For more information follow the link below:
Here is some helpful information Unity have put together about vaginal discharge:
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