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Express Assessment

Contraceptive Pill Online — Renew or Switch Your Birth Control

Three days of pills left and no appointment, or a packet that ran out in a country where your brand does not exist. If you already take the pill, patch or ring, an EU-registered doctor renews or switches it from a 3-minute questionnaire, read usually within 15 minutes. You name the method; the doctor confirms it is safe for you. €34.

  • €34, one fixed fee
  • Doctor review usually within 15 minutes
  • Daily 7am–11pm CET
  • 14 EU countries, no appointment
Start Express Assessment — €34

Express Assessments are available while you are in one of these 12 countries.

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Info: It is important that your GP is aware of any medication you are taking to allow them to provide you with the best and safest care. We advise that you inform your GP of any medication our doctors prescribe.

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Renew or switch, not start

For anyone who has used hormonal contraception before without problems. A first pill needs a blood-pressure check and a conversation, so first-time users book a video consultation instead.

The same safety check as a clinic

The questionnaire covers what a doctor checks before prescribing the pill: blood pressure, migraine with aura, clots, smoking, other medicines. The doctor reads every answer personally.

Your brand, or the local equivalent

The prescription names the active ingredients, so a pharmacy abroad can supply the local version of your pill if your brand is not sold there.

Contraception online — key facts

Who it is forAdults who have used the pill, patch or ring before without problems and want to renew it or switch
What the doctor can prescribeCombined pills, progestogen-only pills, the patch and the vaginal ring — you choose the product and say how many packets you need; the doctor confirms it suits you and decides the quantity
Who needs a video consultationFirst-time users; migraine with aura; high blood pressure; a blood clot, stroke or heart attack in your history; smokers aged 35 or over
Not coveredEmergency contraception — the morning-after pill is sold at pharmacies without a prescription across most of the EU; go to the nearest one now
Missed pillsOne missed combined pill — take it as soon as you remember and carry on; two or more — condoms for seven days, full rules below
The prescriptionIn English, names the active ingredients, carries a verification code; recognised at pharmacies across the EU under Directive 2011/24/EU
Price and time€34, one fee; an EU-registered doctor reviews it usually within 15 minutes, daily 7am–11pm CET; full refund if it cannot be handled online

How does an online pill prescription work?

An online pill prescription renews or switches the contraceptive pill, patch or ring once an EU-registered doctor has checked the things that make hormonal contraception unsafe — blood pressure, migraine with aura, smoking at 35 or over, a history of clots, and the medicines you take — following the WHO eligibility criteria. A first prescription needs a blood-pressure reading and a conversation, so it is a video consultation; emergency contraception is available at pharmacies without waiting for a doctor.

How to get birth control or the contraceptive pill online — what happens after you press start

1. The questionnaire — about 3 minutes

It asks whether you have used hormonal contraception before without problems, about your blood pressure and your heart, liver, kidney, hormonal, mental-health and neurological history, any blood clot, stroke or TIA, migraine with aura, pregnancy, smoking, alcohol, allergies and family history. Then you choose the pill, patch or ring you want.

2. The doctor's review

The doctor checks your answers against the medical eligibility criteria for hormonal contraception — the same criteria a family-planning clinic uses. A renewal for a healthy non-smoker with normal blood pressure is straightforward; a risk factor means a message from the doctor or a switch to a video consultation, at no extra charge.

3. The pharmacy

The prescription appears in your Mobi Doctor profile. Show it at a pharmacy you choose; the active-ingredient names let the pharmacist match your product or supply the local equivalent. You pay the pharmacy for the pills. Mobi Doctor does not sell or dispense medicines.

First time on hormonal contraception, migraines with aura, high blood pressure, a clot in your history, or a smoker aged 35 or over? Book a video consultation instead.

Right for the Express Assessment if

  • You have used the pill, patch or ring before without problems
  • You want to renew the same method, or switch to another one
  • Your blood pressure is normal, or you know the last reading
  • You are 18 or over and in one of the 14 EU countries Mobi Doctor covers

Book a video consultation instead if

  • This would be your first hormonal contraceptive
  • Migraine with aura at any age, any migraine if you are 35 or over, or migraines that started or got worse on the pill
  • High blood pressure, or you have never had it measured
  • A blood clot, stroke or heart attack in your history, or a close relative who had a clot before 45
  • You smoke and are 35 or over, or your BMI is 35 or more
  • Bleeding that is new or unusual for you, or you may be pregnant; breast cancer now or in the past; a baby in the last six weeks; major surgery with bed rest ahead

List every medicine you take and answer each question fully — the doctor's decision depends on it. Your answers are confidential.

Listen: the birth control episode of the Mobi Doctor podcast

Which contraception the doctor can prescribe — and how the choice is made

Combined pills (an oestrogen plus a progestogen), progestogen-only pills, the contraceptive patch and the vaginal ring can all be prescribed from the questionnaire, as a renewal of what you take or a switch to a method you have chosen. The doctor's decision follows the World Health Organization's medical eligibility criteria for contraceptive use: for each method and each health condition the criteria say whether the method is fine, needs judgement, or should not be used.

The conditions that rule out oestrogen — migraine with aura, blood pressure of 140/90 or above, a previous clot, smoking at 35 or over, the first weeks after childbirth or breastfeeding — are the ones the questionnaire asks about, alongside a BMI of 35 or more, where the doctor weighs the clot risk; breast cancer rules out every hormonal method. Those cases go to a video consultation rather than a questionnaire. A progestogen-only pill has far fewer restrictions and is often the answer for women who cannot take oestrogen; the doctor can suggest that switch when your answers point to it.

If you are on a pill that suits you, the doctor renews it. If you want to change — fewer side effects, a different bleeding pattern, a method you do not have to remember daily — say what you take now and what you want from the change; the doctor prescribes accordingly and explains how to switch without a gap in protection.

Switching pills safely

Switching between combined pills, or from a combined pill to the patch or the ring, is done by starting the new method the day after the last active pill, with no break, and protection continues. Switching from a combined pill to a progestogen-only pill works the same way. Switching the other way round — from a progestogen-only pill to a combined pill — needs seven days of extra precautions unless you start on the first day of a period. The doctor's note in your profile says which rule applies to your switch.

Missed pills, time zones and stomach upsets

For a combined pill, one missed pill anywhere in the packet: take it as soon as you remember, even if that means two in one day, and carry on — no extra precautions. Two or more missed: take the most recent missed pill, continue the packet and use condoms for seven days. If the missed pills were in the last week of the packet, skip the pill-free break; if they were in the first week after a break and you have had sex, ask about emergency contraception. For most progestogen-only pills the window is shorter — three hours for the traditional ones, twelve for desogestrel — and a late pill means condoms for two days. Vomiting within three to four hours of a pill counts as a missed pill.

Crossing time zones: keep taking the pill at the same interval on the clock you left, or shift it gradually by a few hours a day — for a combined pill a delay of under 12 hours is not a missed pill; up to 24 hours late counts as one missed pill and follows the rule above.

Can I get emergency contraception online?

Not through the Express Assessment — if you need emergency contraception, do not wait for a questionnaire. Levonorgestrel works for up to three days after sex and ulipristal acetate for up to five days; both are sold at pharmacies without a prescription in most EU countries, and the sooner they are taken the better they work. The copper IUD is the most effective option and is fitted at a clinic. After levonorgestrel, carry on with your regular pill the same day; after ulipristal, wait five days before restarting it and use condoms until your next period.

Using the prescription at a pharmacy in Spain, Germany, France or anywhere else in the EU

Pill brands differ from country to country; the active ingredients do not. The prescription is issued in English by an EU-registered doctor, names the active ingredient rather than a brand, and carries a verification code the pharmacist can check at mobidoctor.eu/verify. A prescription issued in one EU country must be recognised in another (Directive 2011/24/EU); the active-ingredient name is what makes that work at the counter. Dispensing is the pharmacist's decision under the rules of the country you are in, and depends on the medicine being available there.

Travelling: take enough packets for the trip plus a spare, keep them in hand luggage, and if you run out, the Express Assessment works from any of the 14 countries Mobi Doctor covers. The pharmacist will read the active-ingredient names on the prescription and hand you the local product, which may look different from yours and have a different name. The other conditions the Express Assessment covers — 13 in all, plus repeat prescriptions — are listed on the online doctor prescription page.

Sources: World Health Organization — Medical eligibility criteria for contraceptive use · European Medicines Agency — combined hormonal contraceptives: benefits continue to outweigh risks (safety review)

Start Express Assessment — €34 About 3 minutes to complete.

Medically reviewed

Dr. Chrysoula I. Liakou MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher
 

The contraceptive pill online — your questions answered

Yes, if you have used hormonal contraception before without problems: an EU-registered doctor renews or switches your pill, patch or ring from a 3-minute questionnaire, and the prescription can be used at a pharmacy you choose in any of the 14 EU countries Mobi Doctor covers. A first prescription needs a blood-pressure check and a conversation, which is a video consultation. €34.

€34, paid when you submit, and nothing more for the prescription. If the doctor decides your contraception cannot safely be handled from a questionnaire — a risk factor that needs discussing, a first prescription — the €34 is refunded in full and you are pointed to a video consultation. A message from the doctor to clarify something costs nothing.

No — a smear test is cervical screening and is not a condition for the pill; a renewal needs an up-to-date blood pressure and a check of the risk factors, which the questionnaire covers. If you do not know your blood pressure, most pharmacies measure it for free or a few euros — do that before you start.

Combined pills, progestogen-only pills, the patch and the ring, chosen by you in the questionnaire and confirmed by the doctor. The prescription names the active ingredients, so the pharmacy can supply your brand or the local equivalent. The doctor does not prescribe a method that is unsafe for your history, and says why.

Start the Express Assessment: the doctor prescribes the active ingredients of the pill you take, and the pharmacist matches them to a local brand. The packet will look different and may have a different name; the composition is what matters. Keep one of your old packets to show the pharmacist.

Yes, if you have already used hormonal contraception safely. Say what you take and why you want to change — bleeding, mood, acne, forgetting pills — and the doctor prescribes a suitable alternative with the switch instructions. A switch that would move you onto oestrogen for the first time, or that follows a new risk factor, goes to a video consultation.

The questionnaire asks what a doctor asks before prescribing hormonal contraception: whether you have used it before without problems, your blood pressure, heart, liver and kidney health, any clot, stroke or migraine with aura, smoking, other medicines and family history. The doctor applies the WHO eligibility criteria to those answers and prescribes only when the method is safe for you.

No, and you should not wait for one: levonorgestrel and ulipristal are sold at pharmacies without a prescription in most EU countries and work best the sooner they are taken. Go to the nearest pharmacy now; a duty pharmacy is open at night. Then carry on with your regular pill.

Stop the combined pill and speak to a doctor the same day if you get a migraine with aura for the first time, a blood pressure reading of 140/90 or above, or any sign of a clot — a swollen painful calf; for sudden breathlessness or chest pain call 112. Those are reasons to change method, usually to a progestogen-only option, and that conversation is a video consultation, not a questionnaire.

The doctor decides the quantity from your history; a renewal for a stable user is usually written for several cycles so you are not back every month. Say in the questionnaire how long you are travelling or how many packets you need.

Yes — Ireland is one of the 14 countries, the prescription is issued in English, and Irish pharmacies dispense on it as a private prescription, so you pay the pharmacy for the pill. The HSE free contraception scheme has its own rules on who may prescribe under it — ask the pharmacist whether your prescription qualifies rather than assuming it does.

In most of the EU the pill is prescription-only, and the exceptions differ by country: some let a pharmacist extend an existing prescription for a limited time, others do not. A pharmacy you choose in any of the 14 countries can act on a prescription naming the active ingredient — which is what the Express Assessment gives you once the doctor has agreed the pill is safe for you.

No — condoms do. If you have had unprotected sex with a new partner, a test is worth having whether or not you have symptoms; the STD Express Assessment treats chlamydia and other infections once there is a test result or a diagnosed partner.

An EU-registered doctor, personally. Your questionnaire is handled confidentially. Mobi Doctor does not send it to your regular doctor or to unrelated third parties; access is limited to the treating doctor and the authorised people and providers who need it to deliver, secure or support the service, as explained in the Privacy Policy.

About You Medical Build Order

About 3 minutes of questions — then the doctor takes over. No waiting room.

Medically reviewed

Dr. Chrysoula I. Liakou

MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher