Concierge contraception · London
Private contraception in London, a proper conversation about what fits.
Every reversible and permanent method, chosen against the UK MEC and your life — not the five minutes a GP has to spare. A contraception-trained GP, a consultant gynaecologist on call, and LARC-trained clinicians for coils and implants.
Why patients choose us
- 01
A contraception-trained GP and a gynaecologist
Not a five-minute pill review. A GP with the FSRH Diploma, a consultant gynaecologist on call, and a proper conversation about what fits your life.
- 02
LARC-trained clinicians, in a proper room
Copper coils, hormonal IUS and the Nexplanon implant fitted and removed by clinicians who do them week in, week out — with resuscitation kit in the room.
- 03
Independent, and free
We are paid by no pharma company and no clinic, so the recommendation is impartial and the concierge costs you nothing.
Indicative pricing
What private contraception costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three genuinely suitable methods.
In short
A consultation with a coil or implant fit: £630–£1,130, done the same visit.
| Service | Indicative range | Typical duration | Turnaround |
|---|---|---|---|
| Contraception consultation (GP, 30 min) | £180–£280 | 30 min | Same visit |
| Gynaecology consultation (consultant, 45 min) | £280–£450 | 45 min | Same visit |
| Copper IUD or hormonal IUS fit (incl. device) | £450–£850 | 30–45 min | Same visit |
| Nexplanon implant fit or removal | £280–£520 | 20 min | Same visit |
| Depo-Provera (DMPA) injection | £95–£160 | 10 min | Same visit |
| Pill / patch / ring prescription review | £120–£220 | 20 min | Same visit |
| Emergency contraception (assessment + med) | £90–£180 | Same day | Same visit |
| Vasectomy under LA | £950–£1,800 | 30 min | Same visit |
Prices vary by clinic, by which clinician fits the device, and by which brand of coil or implant is chosen. We come back with a firm quote within one working day.
The problem
The right method, the right screen, the time to talk it through.
Contraception is one of the most under-served consultations in general practice — five minutes, the same pill on repeat, and no proper UK MEC screen. We fix all three before you commit.
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On the wrong pill?
A proper switching plan across two or three methods that suit your MEC and your life — not the one the GP has ten seconds to prescribe.
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Want a coil or implant?
Fitted by a LARC-trained clinician with resuscitation kit in the room, in a private clinic room — not the corner of a busy surgery.
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Need it same day?
Emergency contraception and Depo injections are arranged the same day. Coils and implants usually within the week.
The journey
From enquiry to review — consult, MEC screen, method choice, follow-up.
One clinician from first message to the three-month check-in — including the switching plan if this method turns out not to fit.
Phase 1 · Before your visit
Concierge, off-stage for you
Phase 2 · On the day
Consultation and, if wanted, your method
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what you are looking for
A short, confidential form. Whether you want to avoid pregnancy, control periods, treat acne, cover HRT, or just talk through the options.
- 02
Before
We come back with a shortlist
Within one working day: two or three methods that fit your medical history, your life stage and your preference — with an indicative price for each.
- 03
Before
A full UK MEC screen
Blood pressure, migraine history, smoking, VTE risk, breast history, breastfeeding — everything the FSRH UK MEC asks, before a method is offered.
- 04
On the day
The consultation
A proper 30-minute appointment with a contraception-trained GP or gynaecologist. Questions welcome. No sales pressure.
- 05
On the day
Your method, that day if you want
A prescription, a coil fit, an implant, a Depo injection or a patch — arranged the same visit when the timing and the MEC allow.
- 06
On the day
Home the same day
A written summary of your method, side-effect profile, what to expect in the first three months, and when to come back.
- 07
After
Review and switching
A three-month check-in on the phone, and a proper switching plan if it is not the right method. Emergency contraception advice on file.
Typical end-to-end: 3–7 days from enquiry to appointment. Three-month review: on the phone.
When it helps
When a proper contraception review is worth it.
The situations we see most, plus the one red flag that means an emergency rather than an appointment.
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Starting contraception for the first time
A first proper conversation about what fits — beyond the pill your friend takes.
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Switching method
Side effects, mood, bleeding, weight — a plan to move across without a pregnancy scare in between.
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Postpartum contraception
What is safe after birth, what fits breastfeeding, and when the coil or implant can go in.
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Perimenopausal contraception
Cover for the last fertile years, often paired with HRT — the POP, IUS or non-hormonal coil.
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Menstrual control or PMS
A method chosen for lighter, less painful or fewer periods — not just to prevent pregnancy.
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Acne, endometriosis or HRT protection
The non-contraceptive benefits — combined pill for acne, IUS for endometriosis, IUS as the progestogen arm of HRT.
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Emergency contraception
Levonorgestrel, ulipristal or a copper coil — assessed and arranged discreetly, same day.
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Red flag: severe leg or chest pain on the pill
Sudden calf swelling, breathlessness or chest pain on a combined method is not normal — same-day A&E, not a clinic booking.
Methods
Every reversible and permanent option, on the table.
What each method actually involves, how effective it is, and which situations it suits.
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Copper IUD (non-hormonal coil)
A small copper device in the womb. Hormone-free, effective for 5–10 years, and works as emergency contraception up to 5 days after unprotected sex.
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Hormonal IUS (Mirena, Kyleena, Jaydess)
A levonorgestrel-releasing coil. Lighter periods, endometriosis relief, and the progestogen arm of HRT. Effective for 3–8 years by brand.
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Nexplanon implant
A matchstick-sized progestogen implant in the upper arm. Three years of protection, no daily dose to remember.
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Depo-Provera (DMPA) injection
A progestogen injection every 12–13 weeks. Very effective, but long-term use is reviewed for bone-density effect.
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Combined oral pill (COC)
Oestrogen and progestogen daily. Helps acne, PMS and heavy or painful periods — not for smokers over 35 or migraine with aura.
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Progestogen-only pill (POP)
A daily desogestrel or drospirenone pill. Suits breastfeeding, migraine with aura and higher VTE risk.
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Patch (Evra) and ring (NuvaRing)
Weekly patch or monthly ring — combined-hormone alternatives to the pill for people who forget the daily dose.
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Barrier, fertility awareness, sterilisation
Condoms and diaphragms, fertility-awareness methods with an app, and permanent options — vasectomy for men, laparoscopic tubal occlusion for women.
Our vetted London network
A small panel of clinicians, we picked them.
Contraception-trained GPs and consultant gynaecologists across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinician in our network.
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GPs with the FSRH Diploma in Sexual and Reproductive Healthcare
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LARC fitting by clinicians with the FSRH Letter of Competence
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Consultant gynaecologist on call for complex switches and complications
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UK MEC screen and blood-pressure check before any combined method
Safety and eligibility
What matters, said plainly.
The Pearl index, the UK MEC, the missed-pill pathway, and the red flags that never wait for a clinic appointment.
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The Pearl index, in plain English
Perfect-use failure rates: implant 0.05%, IUS 0.2%, copper IUD 0.8%, injection 0.2%, COC 0.3%, POP 0.3%, condoms 2%. Typical use is worse — we quote both.
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UK MEC drives the shortlist
The Faculty of Sexual and Reproductive Healthcare UK Medical Eligibility Criteria say which method is safe for you. Migraine with aura, smoking over 35, VTE history and active breast cancer all narrow the list.
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Missed pills and the EC pathway
A missed combined pill in week 1, three missed progestogen-only pills, or condom failure — all have a specific pathway. We put it on paper before you leave.
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The first three months
Spotting, mood change and breast tenderness are common in month one to three. A method is not judged until then, unless something dangerous happens.
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DMPA and bone density
Long-term Depo-Provera has a small effect on bone density that reverses on stopping. Reviewed every two years, and not first choice under 18 or over 45.
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Coil expulsion and implant migration
A coil can slide out (2–10% in the first year); an implant can very rarely migrate. Both are checked at follow-up and are why threads or the arm are examined.
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PID and STI risk
A coil fit carries a small infection risk in the three weeks after — we screen for chlamydia and gonorrhoea before fitting when risk is present.
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Ectopic risk if pregnancy occurs
Pregnancy on any method is rare, but if it happens the risk of ectopic is higher — a scan is arranged the same week.
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Red flags
Sudden severe headache, focal neurological symptoms, calf swelling, chest pain, or a breast lump on any hormonal method — same-day medical review.
Reading your clinic note
Your clinic note in four parts. Read the last one first.
Whichever method was chosen, the note the clinician sends you keeps to the same shape.
A quiet reminder
Contraception language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Method chosen and start date
The method, the brand, and when it starts — including whether extra cover with condoms is needed for the first seven days.
- 02 Screen
UK MEC screen and blood pressure
What was checked before prescribing — BP, migraine, smoking, VTE risk, breast history, breastfeeding — and any contraindications noted.
- 03 Findings
Side-effect profile and what to expect
What the first three months usually look like on this method, what is normal, and what is not.
- 04 Impression
Review timing and switching plan
Read this first: when to come back, what to do if a pill is missed, and the switching plan if this method turns out not to fit.
Recognised by major UK insurers
Cover for contraception varies by insurer and by indication — usually self-pay for routine prevention, sometimes funded when there is a medical indication such as endometriosis or heavy menstrual bleeding. We confirm cover before booking.
Frequently asked
Everything we get asked about contraception.
Quick answers on effectiveness, cost, switching, breastfeeding, perimenopause and emergency contraception.
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Which contraception actually works best in real life?
The long-acting reversible methods — the implant, the hormonal IUS and the copper IUD — win in real life, with typical-use failure well under 1% because there’s nothing to remember. The pill, patch and ring look 99% effective on paper but drop to 91–93% in practice as life gets in the way, which is why most London sexual-health consultants now steer people towards a LARC discussion first.
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How do I know which method is right for me?
We work through the UK MEC (Medical Eligibility Criteria) with you — migraine history, smoking, blood pressure, VTE risk, breastfeeding, breast history and age all matter. Then we layer your preference: hormone-free, no daily tablet, lighter periods, or acne cover. Most patients end up choosing between two or three genuinely suitable methods.
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Can I have contraception while breastfeeding?
Yes. The progestogen-only pill, the implant, the IUS, the copper coil and the Depo injection are all safe while breastfeeding. Combined hormonal methods (COC, patch, ring) are usually avoided in the first six weeks because of VTE risk.
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What is emergency contraception and when does it work?
Levonorgestrel (up to 72 hours after unprotected sex), ulipristal acetate (up to 120 hours), and the copper IUD (up to 120 hours) are the three options. The copper coil is the most effective by a wide margin, and it becomes ongoing contraception. We can arrange any of the three same day.
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How much does private contraception cost in London?
A GP consultation runs £180–£280. A copper coil or IUS fit including the device is £450–£850. A Nexplanon implant is £280–£520. A Depo injection is £95–£160. Emergency contraception with assessment is £90–£180. Vasectomy under LA is £950–£1,800.
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What is the copper coil versus the hormonal IUS?
The copper IUD is hormone-free, lasts 5–10 years, and can make periods heavier and more painful. The hormonal IUS (Mirena, Kyleena, Jaydess) releases levonorgestrel locally, lasts 3–8 years, and usually makes periods lighter or stops them altogether. It is also the progestogen arm of HRT.
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What about contraception in the perimenopause?
Fertility drops but does not stop. The IUS is often the neatest answer — it acts as contraception and as the progestogen half of HRT. The POP is a safe alternative. Contraception is needed until age 55, or two years after the last period under 50.
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Can I switch methods without losing cover?
Yes — but the switching rules matter. Some switches need seven days of condom overlap, some need none. We write the plan down for you before you leave, so there is no ambiguity.
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Are there non-contraceptive benefits worth knowing about?
Plenty. The combined pill helps acne, PMS, painful and heavy periods, and endometriosis. The IUS treats heavy periods and endometriosis and is used as HRT progestogen. The POP can help perimenopausal bleeding. Fertility-awareness apps help planning as well as prevention.
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When should I seek same-day medical help?
Sudden severe headache, focal neurological symptoms (numbness, speech change), calf swelling or breathlessness on a combined method, chest pain, a new breast lump, severe abdominal pain after a coil fit, or a positive pregnancy test on any method — all warrant same-day medical review.
Related treatments
Looking for something else?
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Coil (IUD / IUS) insertion and removal
Copper and hormonal coils fitted and removed by LARC-trained clinicians.
Learn more -
Combination birth control pills
A closer look at the combined pill — how to choose, and when to avoid.
Learn more -
STD screening profiles
Discreet, comprehensive private STI screening.
Learn more -
All tests and procedures
Every test and treatment we arrange.
Learn more -
Hypertension
Related condition guide.
Learn more -
Type 2 Diabetes
Related condition guide.
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Blood Tests
Related diagnostic test.
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Health Assessments Select
Related diagnostic test.
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In practice, in London
The London pathway for contraception
For contraception, the private London route is mostly about consultant fit and hospital choice rather than raw waiting time. The NHS route for contraception is thorough, but the queue is real. Most patients we speak with have been told to expect anywhere from a handful of weeks to several months, depending on their local trust and how the referral is graded. Going private in London usually collapses that window to a matter of days — often the same week if the diary allows. It isn’t about jumping a queue so much as buying time back while you still have the flexibility to plan around it.
A typical private booking for contraception in London starts with a consultant conversation — sometimes in person on Harley Street or Marylebone, sometimes on video if that suits better. Any imaging or diagnostics happen at a nearby CQC-registered facility, and reports usually land within 24 to 72 hours. The whole loop, from first call to written report, is often done inside a fortnight. For contraception in particular, we bias towards consultants who do this every week rather than every month.
Honesty about expectations is part of the job. A private contraception appointment in London won’t change the underlying medicine — the guidelines, the consultants, and the equipment are largely the same as on the NHS. What it changes is speed, continuity, and the amount of time you get to actually talk through the findings. Everyone we route to is GMC-registered and works within CQC-regulated facilities.
Nearby in the library