12 month prescriptions

12 Month Prescriptions
As from 1st February 2026, some people with stable, long-term health conditions may be able to get prescriptions for some medications for up to 12 months.

Your doctor will work with you to decide if a 12-month prescription is safe and appropriate for you and your health needs. If you feel this may be an option for you then please make a face-to-face appointment with your doctor to discuss. This visit will be a 12-month prescription appointment and if you wish to discuss other things then please make a double appointment.

12-month prescriptions are more likely to be suitable for people with stable, long-term health conditions when the dose of medication is unlikely to change and you do not require regular monitoring with blood tests or blood pressure.

The rules for controlled drugs like strong pain relievers and ADHD medicines are not changing. ADHD medications will continue to be prescribed for 3 months with no more than 1 month dispensed by the pharmacy. 

12 month prescriptions must be picked up from the same pharmacy. Please note if you need to change pharmacy's, lose your medications, or require an extra short supply until you can see your doctor for a face-to- face review, there will be an additional charge for this. 

 Please remember: Your health always comes first.

CityMed
09 377 5525

Vasectomy

  • What Is a Vasectomy?

    A vasectomy is a simple, minor surgical procedure for male sterilization — a permanent method of contraception that prevents sperm from being released during ejaculation.At CityMed Auckland, we perform the procedure using the modern keyhole no-scalpel technique, ensuring minimal discomfort, fast recovery, and proven effectiveness.

    The procedure works by cutting and sealing the vas deferens — the small tubes that carry sperm from the testicles to the prostate gland. This prevents sperm from mixing with semen, so ejaculation feels the same, but without the risk of pregnancy. Vasectomy does not affect testosterone levels, libido, or sexual performance.  Vasectomy Picture 

    Why Choose CityMed for Your Vasectomy?

    Experienced Doctors: Performed by both highly qualified and experienced doctors in no-scalpel vasectomy.

    Comfort-Focused Procedure: Local anaesthetic with optional sedation for anxious patients.

    Clear Pre- and Post-Op Guidance: You’ll receive detailed preparation and recovery instructions to ensure a smooth experience.

    Follow-Up Testing: Semen analysis after the procedure confirms success and safety.

    Convenient Central Auckland Location: Easy parking, professional nursing team, and same-day outpatient procedure.

    The Vasectomy Procedure

    At CityMed, vasectomy is performed as a day procedure, taking around 45 minutes in total. Here’s what to expect:

    1. Anesthetic & Preparation: A local anesthetic is applied to numb the scrotal area. If you feel anxious, a light sedative can be provided — in that case, please arrange someone to drive you home. You’ll be asked to shave or apply depilatory cream to the front of the scrotum before the appointment.
    2. No-Scalpel (Keyhole) Technique: A tiny keyhole opening (around 0.5 cm) is made in the midline of the scrotum. The vas deferens on each side is carefully exposed, a short segment removed, and both ends sealed (cauterized and tied). The same small opening is used for both sides, leaving no visible stitches.
    3. Post-Procedure Dressing: A small dressing will cover the wound. You can remove it in the shower after 24 hours. Mild discomfort is normal for the first 2–4 days, and most men return to light activity within 48 hours.

    Vasectomy Recovery and After-Care

    • Rest: Take it easy for at least 24 hours. Avoid showering for the first day, then remove the dressing gently.
    • Support: Wear supportive underpants and avoid heavy lifting or strenuous exercise for 2–3 days.
    • Pain Relief: Mild painkillers as directed by your doctor are usually enough.
    • Sexual Activity: You may resume sex when you feel comfortable, usually after a week — but you must use another form of contraception until your sperm test confirms a zero sperm count.
    • Sperm Test: After about 20–25 ejaculations (usually 3–4 months), bring a semen sample to the lab for testing. Continue contraception until we confirm zero sperm count.
    • Follow-Up: If sperm are still present, repeat testing is required after 10–15 more ejaculations. Late recanalization is extremely rare but possible, so follow-up testing is essential.

    Risks and Considerations

    A vasectomy is safe and reliable, but like all surgical procedures, it carries minor risks such as bruising, infection, or temporary swelling. There is a small chance (1 in 1000) of the tubes reconnecting naturally, which would restore fertility. While vasectomy reversal is technically possible, it is not always successful, so a vasectomy should be considered permanent. If you’re unsure, we recommend discussing sperm storage before surgery — our team can guide you through this option.

    Preparing for Your Vasectomy

    • Confirm your appointment the day before by phoning 377 5525.
    • Shave or depilate the front and underside of the scrotum as instructed.
    • Wear comfortable, supportive underpants.
    • Arrange transport home if sedation is used.
    • Payment is made at the time of the procedure; Southern Cross patients may claim directly.

    After the Procedure: When to Contact Us

    Please contact CityMed if you experience:

    • Significant swelling, redness, or persistent pain.
    • Ongoing discomfort after 2 weeks
    • Concerns about sperm test results or the healing process.

    Our nurses and doctors are available to answer any questions during recovery.

    FAQs

    Is vasectomy painful?
    You’ll receive local anesthetic injections in the scrotum before the procedure, which significantly reduces the pain during the procedure, and mild soreness afterward is usually manageable with simple pain relief.

    Will vasectomy affect my hormones or sex drive?
    No. Testosterone levels, libido, and erection quality remain unchanged.

    Can vasectomy be reversed?
    Yes, but reversal success rates vary (40–80%) and are not guaranteed. It’s best to treat vasectomy as permanent.

    When can I return to work?
    Most men return to office work the next day. Those with physically demanding jobs should rest for 1 week.

    How effective is vasectomy?
    More than 99.8% effective after confirmed zero sperm count — one of the most reliable contraception methods available.

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    Or call us Monday to Friday 8am-5:30pm

    09 377 5525