Young People Contraception

Online Contraception for 18-24-year olds
Camden & Islington residents who are aged 18-24 can request some contraceptives online; these are:
- Progestogen-only pill (POP).
- Combined Hormonal Contraception: available if you are a current user of this method and have already received this from our service within the last 12 months.
  If you wish to start a CHC method then please call 07935085572.
  This includes:
  Combined Oral Contraceptive Pill (COC)
  Combined Transdermal Patch (EVRA)
  Combined Vaginal Ring
We will ask you a number of health related questions to assess your suitability for this service as would happen in a clinic appointment.

For Combined Hormonal Contraception (COC pill, EVRA patch, vaginal ring) you will need to provide your current weight and blood pressure (BP) that have been measured within the last one month. Everybody’s BP is different and it can change (become high or low) without you noticing. Combined hormonal methods of contraception can increase one’s BP in a small percentage of individuals. High BP increases the risk of heart attack and stroke. It is therefore important that you provide us with a BP measured within the last one month so that we can ensure that it remains within the acceptable range. You can measure your BP at many places such as your GP practice, gyms and pharmacists. You can also buy BP monitoring devices from pharmacies and online. Have these measurements ready before you start completing the form for these methods.

Your answers will be reviewed by a clinician. Sometimes the clinician might need to call you to clarify the information you have provided, this will usually be within 5 working days after your request.

Medication or a prescription will be sent by post and may require a signature.

This will be issued on the understanding it is for your use only and for contraceptive purposes.

Please note there is no prescription charge for contraception.

We will let you know by text if we are not able to prescribe contraception online and you will be advised to make a phone consultation instead.
Are you 18 to 24 years old? Yes No
This online contraception form is for Camden & Islington residents.
Please enter your postcode.
Type of Contraception
Please choose whether you would like a prescription for the progestogen-only pill (POP) or combined hormonal contraception (COC pill, EVRA patch or vaginal ring).
Progestogen-only pill
(POP) Combined Hormonal Contraception
(COC pill, EVRA patch, vaginal ring)
Are you currently taking the progestogen only pill? Yes, I want a repeat prescription of the Progestogen-only Pill No, I wish to start the Progestogen-only pill
The progestogen-only pill ('POP') is a small tablet that contains a progestogen hormone. It works by thickening the cervical mucous stopping the sperm meeting the egg and, in some individuals, it also stops ovulation.

Effectiveness: With perfect use only about 1 in 100 will get pregnant each year. With typical use however about 9 in 100 will get pregnant each year. This is because in typical use people forget pills or might do something else that makes it less effective. It becomes effective 48 hours after taking your first pill.

Advantages: Medically the POP is very safe, there are very few contraindications and risks. Whilst it is a good contraceptive for individuals of all ages, it is ideal for those who can’t take oestrogen or are older.

Disadvantages: You may not get a regular bleed with this method. Whilst some may experience no bleeding others may experience bleeding at irregular intervals.

Use: The POP is taken daily, you do not take a break between packs. You should aim to take the POP at the same time each day. It is important not to take it more than 3 hours (12 hours for POPs with desogestrel) after your chosen time. We supply the POP with desogestrel to new customers.

Please read further information on the Progestogen-only Pill here.

We need to check that there is nothing in your medical history that might make it unsafe to use the POP
What is your current main method of contraception?

Please enter details.
Have you had sex without reliable contraception in the last three months? Yes No
Have you used emergency contraception in the last three months? Yes No
Do you think you might be pregnant? Yes No
Have you had any unexpected vaginal bleeding? Yes No
Are you taking any medication that you have been prescribed or bought? Yes No

Please enter details, name of the medication and the reason for taking it.
Are you taking St John’s wort? Yes No
Do you have any allergies (including peanut and soya allergies)? Yes No

Please enter details.
Have you ever had any of the following conditions:
- diabetes
- breast disease
- cancer of any type
- thrombosis/blood clot eg (DVT: Deep Vein Thrombosis or PE: Pulmonary Embolism)
- stroke (or TIA)
- heart disease
- liver disease or jaundice
- malabsorption syndromes
- gastrointestinal surgery
Yes No
Have you had any illnesses or operations (in the past or present)?
Please provide details, approximate dates and outcome: Yes No

Please enter details.
How many months' supply of pills do you want?
The progestogen-only pill ('POP') is a small tablet that contains a progestogen hormone. It works by thickening the cervical mucous stopping the sperm meeting the egg and, in some individuals, it also stops ovulation.

Effectiveness: With perfect use only about 1 in 100 will get pregnant each year. With typical use however about 9 in 100 will get pregnant each year. This is because in typical use people forget pills or might do something else that makes it less effective. It becomes effective 48 hours after taking your first pill.

Advantages: Medically the POP is very safe, there are very few contraindications and risks. Whilst it is a good contraceptive for individuals of all ages, it is ideal for those who can’t take oestrogen or are older.

Disadvantages: You may not get a regular bleed with this method. Whilst some may experience no bleeding others may experience bleeding at irregular intervals.

Use: The POP is taken daily, you do not take a break between packs. You should aim to take the POP at the same time each day. It is important not to take it more than 3 hours (12 hours for POPs with desogestrel) after your chosen time.

Please read further information on the Progestogen-only Pill here.

We need to check that there is nothing in your medical history that might make it unsafe to use the POP
What is the name of the POP you are taking?
Are you finding it difficult to remember to take the pills on time? Yes No
Have you been late or missed taking any pills in the last three months? Yes No
Have you used emergency contraception in the last three months? Yes No
Do you think you might be pregnant? Yes No
Have you had any unexpected vaginal bleeding? Yes No
Are you taking any medication that you have been prescribed or bought? Yes No

Please enter details, name of the medication and the reason for taking it.
Are you taking St John’s wort? Yes No
Do you have any allergies (including peanut and soya allergies)? Yes No

Please enter details.
Have you ever had any of the following conditions:
- diabetes
- breast disease
- cancer of any type
- thrombosis/blood clot eg (DVT: Deep Vein Thrombosis or PE: Pulmonary Embolism)
- stroke (or TIA)
- heart disease
- liver disease or jaundice
- malabsorption syndromes
- gastrointestinal surgery
Yes No
Have you had any illnesses or operations (in the past or present)?
Please provide details, approximate dates and outcome: Yes No

Please enter details.
How many months' supply of pills do you want?
In the last 12 months which CNWL service did you use for your Combined Hormonal Contraception?
Combined hormonal contraception is available online only to those who are currently receiving this method from either a CNWL sexual health clinic or CNWL online service.
The combined oral contraceptive pill (also known as ‘COC’), the combined hormonal contraceptive patch (EVRA patches) and the combined hormonal vaginal ring contain a progestogen and an oestrogen hormone. They work by stopping you ovulating (producing an egg).

Effectiveness: With perfect use only about 1 in 100 will get pregnant each year. With typical use however about 9 in 100 will get pregnant each year. This is because in typical use people forget pills / patches / the ring or might do something else that makes it less effective. They become effective 7 days after starting the method.

Disadvantages: There is a very small increased risk of venous thrombosis and stroke when using these methods, the medical history you provide us with will assess whether you are at increased risk and therefore should not use an oestrogen containing contraceptive. Combined hormonal contraception increases the risk of heart attacks, breast cancer and cervical cancer.

Advantages: These methods give very predictable bleeding patterns and make bleeds less heavy. They can also improve acne in some individuals. They also reduce the risk of endometrial, ovarian and bowel cancer.

Use: The COC is usually taken daily for twenty-one days followed by a seven-day break after which the pill is restarted. It has to be taken within 24 hours of the same time each day.

The EVRA patch is changed every seven days with a seven-day break after three weeks.

The vaginal ring is left in for twenty-one days followed by a seven-day break.

However, not taking a break or reducing the number of breaks may increase the effectiveness of these methods, as does reducing the break to 4 days. This is safe to do and reduces the number of bleeds you have.

Please read further information here for the COC pill, here for the patch, here for the vaginal ring.

We need to check that there is nothing in your medical history that might make it unsafe to use these methods. The questions below are common for all Combined hormonal contraception methods (COC pill, EVRA patch, vaginal ring).

You will need to provide your recent height, weight and blood pressure as part of this process.
What is the name of the Combined hormonal contraception you are using?
Are you finding it difficult to remember to take the pills on time (for COC) or use the patches or vaginal ring correctly? Yes No
Have you been late or missed any pills, patches or the ring in the last three months? Yes No
Have you used emergency contraception in the last three months? Yes No
Do you think you might be pregnant? Yes No
Have you been pregnant in the last 3 months? Yes No

Please enter details.
Are you currently breast feeding? Yes No
Have you had any unexpected vaginal bleeding? Yes No
Are you taking any medication that you have been prescribed or bought? Yes No

Please enter details, name of the medication and the reason for taking it.
Are you taking St John’s wort? Yes No
Do you have any allergies (including peanut and soya allergies)? Yes No

Please enter details.
Have you ever been advised not to take oestrogen containing medication? Yes No
Have you smoked any cigarettes, tobacco or vaped in the last 12 months? Yes No

Please enter details.
Have you ever had any of the following conditions:
- high blood pressure
- diabetes
- breast disease
- cancer of any type
- thrombosis/blood clot eg (DVT: Deep Vein Thrombosis or PE: Pulmonary Embolism)
- stroke (or TIA)
- heart disease
- liver disease, jaundice or gall stones
- high cholesterol
- antiphospholipid antibodies
- malabsorption syndromes
- gastrointestinal surgery
- restricted mobility
Yes No
Have you had any illnesses or operations (in the past or present)?
Please provide details, approximate dates and outcome: Yes No

Please enter details.
Have you ever had a migraine? Yes No
Has anyone in your close family, (mother, father, brother, sister) had breast cancer, a heart attack, stroke or thrombosis (blood clots)?
Are there any health conditions that run in your family? Yes No

Please enter details such as who had what condition and how old were they when diagnosed with it.
Have you seen any other contraceptive provider since your last prescription from CNWL Sexual Health services and if so what for? Yes No

Please enter details.
What is your weight in Kg
What is your height in metres
Body mass index
Your BMI is

What is your blood pressure (XXX/XX)
Everybody’s blood pressure (BP) is different and it can change without you noticing. Combined hormonal methods of contraception can increase one’s BP in a small percentage of individuals. High BP increases the risk of heart attack and stroke. It is important that you provide us with a BP measured within the last one month so that we can ensure that it remains within the acceptable range. You can measure your BP at many places, GP, gyms and pharmacists. You can also buy BP monitoring devices from pharmacies and online.
Has this blood pressure been measured in the last one month? Yes No
How many months’ supply do you want?

Thank you for providing us with your health information.

The information you have provided will be reviewed by a clinician. The clinician will decide if you are eligible for online contraception. They may call you to clarify details if felt necessary. If you are eligible, you will be sent the contraception or a prescription in the post to the address you provide below. If it is a prescription you take this into any high street chemist and you will receive your contraception.

If the clinician reviews your health information and decides that you might benefit from a consultation then you will be contacted via email or text.

Please complete the form below.

We will record this information and create a patient record if you are a new patient, if necessary we will update records of existing patients.

Date of Birth

/ /

You need to be between 18 and 24 to be eligible for this online service.

Note: Your eligibility to receive a self-test kit depends on your postcode and changing this may reset the above information. Only UK mobile numbers will be accepted.

Note: Your eligibility to receive online contraception depends on your postcode, and changing this may reset the above information. Only UK mobile numbers will be accepted.

We will record whether you are male or female based on the kit you have ordered.

The information below is required for anonymous bulk reporting for health planning. The information in reports cannot be linked to you as an individual and will only be shared for NHS purposes.

* Fields are mandatory.

Please click here on Progestogen-only Pill to read information about the use, risks and benefits of this method of contraception.

Please click here for the COC pill, here for the patch, here for the vaginal ring to read information about the use, risks and benefits of this method of contraception.

I agree that CNWL can share my details with TDL * I have read and understood all of the questions, and answered these to the best of my ability. I understand that all medication, including contraception, can have risks and side effects and I have read and understood these in relation to the contraception I am requesting. *

Please enter your validation code:

Didn’t receive a text? Please check your mobile number is entered correctly.

Thank you for submitting the form for online contraception

Your answers will be reviewed by a clinician. Sometimes the clinician might need to call you to clarify the information you have provided, this will usually be within 5 working days after your request.

If you are suitable, medication or a prescription will be sent by post and may require a signature. If a prescription, you can take it to any chemist to receive your free contraception.

This will be issued on the understanding it is for your use only and for contraceptive purposes.

We will let you know by text if we are not able to prescribe contraception online and you will be advised to make a phone consultation instead.