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.

  • Circumcision in Auckland: A Patient’s & Caregiver’s Guide

    Circumcision is a common surgical procedure involving the removal of the foreskin from the penis. It can be performed for a variety of medical, cultural, religious, or personal reasons, and is available for both babies and adults across New Zealand.

    At CityMed Auckland, our circumcision services are carried out by experienced doctors in a safe, sterile, and supportive clinical environment. We understand that the decision to proceed with circumcision is personal, and our role is to provide clear information, compassionate care, and evidence-based guidance.

    In New Zealand, Auckland circumcision procedures are sought for many different reasons, from improving hygiene and reducing recurrent infections, to fulfilling religious or cultural traditions, or simply personal preference. Whether performed during infancy, childhood, or adulthood, circumcision is generally a straightforward procedure with a short recovery period when done by skilled professionals.

    The following information outlines the most common reasons for circumcision, what to expect before and after the procedure, and the potential risks and benefits to help individuals and families make an informed choice.

    Reasons for Circumcision

    1. Hygiene

    Many parents choose circumcision because they believe it improves hygiene or makes it easier to care for a boy’s penis.

    Infection or inflammation of the foreskin affects about 3-4% of uncircumcised boys, meaning 96-97% never have foreskin infections. Urinary tract infections occur in roughly 1-2 in 100 uncircumcised boys, compared with 1 in 500 in circumcised boys.

    Uncircumcised males have a higher risk of inflammation and infection of the foreskin and glans. However, opinions differ on whether this risk justifies circumcision. The general medical consensus is that routine circumcision is not medically necessary, though it can still be a personal or cultural choice.

    Families seeking safe and professional procedures often consider Auckland circumcision services for hygienic and cultural reasons.

    2. Other infections

    Uncircumcised adults are more prone to foreskin infections such as candida (thrush), particularly if they have diabetes.

    Some studies have found that sexually transmitted infections (STIs) like herpes, gonorrhea, and syphilis are less frequent in circumcised men, while rates of NSU and genital warts are similar between groups.

    Research in Africa suggests circumcision lowers the risk of HIV infection, though this has not been confirmed in studies from developed countries such as the USA or New Zealand. Therefore, circumcision should not be promoted as protection against HIV or other STIs.

    Clinics providing Auckland circumcision services always emphasize that it is not a substitute for safe sexual practices.

    3. Religious Reasons

    Circumcision for religious purposes dates back to Biblical times, beginning with Abraham, who circumcised himself and his sons as a sign of faith.

    Judaism and Islam continue this tradition, viewing circumcision as an essential religious rite. Other religious groups also practice circumcision to varying degrees. In New Zealand, families seeking faith-based Auckland circumcision services often do so under community guidance and tradition.

    4. Cultural Reasons

    In some cultures, circumcision is deeply rooted as a rite of passage. For example, many Pacific Islanders in New Zealand have an almost 100% circumcision rate, traditionally performed in late childhood or puberty as a symbol of manhood.

    Within Auckland’s multicultural population, Auckland circumcision clinics frequently serve Polynesian, Filipino, and Fijian families following these cultural practices.

    5. Medical Reasons

    A small percentage of males require circumcision for medical reasons, such as recurrent inflammation or infection of the foreskin and glans. These issues can cause phimosis, where the foreskin becomes too tight to retract, leading to poor hygiene and more infections.

    If topical treatments fail, circumcision or a dorsal slit procedure (a minor surgical division of the foreskin) may be necessary.

    Men and parents seeking expert advice on medical indications can consult local Auckland circumcision specialists for evaluation.

    6. Social and Sexual Reasons
    Some men choose circumcision for personal, social, or sexual preferences. Common reasons include:

    • Tight foreskin during erection (causing discomfort or tearing)
    • Partner preference for the appearance or cleanliness of a circumcised penis
    • Concerns about odor or smegma buildup

    Many couples report greater comfort and confidence after the procedure. Auckland circumcision clinics cater to both cosmetic and functional requests in a confidential and professional setting.

    7. Cancer Risk

    Cancer of the penis is extremely rare, affecting about 1 in 100,000 uncircumcised men. While circumcision slightly reduces this risk, it is not considered a primary preventive measure.

    In practice, very few men undergo circumcision solely for cancer prevention, though Auckland circumcision clinics may discuss this as part of broader urological care.

    Who Considers Circumcision

    Babies

    • Personal reasons of the parents, that circumcision is more hygienic
    • Religious reasons, in particular Jews and Muslims
    • Cultural reasons, particularly for Polynesians

    Children

    • Cultural reasons, particularly for Polynesians, Filipinos, and Fijians
    • Medical reasons, usually recurrent infection of the foreskin and/or the head of the penis. By this age group phimosis can also be a problem.

    Teenagers

    • Cultural reasons, particularly for Polynesians, Filipinos, and Fijians
    • Medical reasons, recurrent infections, phimosis
    • Sexual reasons, they and/or their partner do not like the foreskin
    • Hygiene reasons, they and/or their partner do not like the smell of the smegma that develops under the foreskin.

    Adults

    • Cultural reasons, (some have missed getting this done earlier)
    • Medical reasons, recurrent infections, phimosis
    • Sexual reasons, they and/or their partner do not like the foreskin
    • Hygiene reasons, they and/or their partner do not like the smell of the smegma that develops under the foreskin.

    Circumcision Procedure

    Circumcision can be performed under local anesthetic (penile block) in our clinic.

    For children aged about 6 months to 10 years, it is often difficult to perform the procedure under local anesthetic, as they may not remain still while injections are given. In this age group, general anesthesia is usually required in hospital.

    Local anesthetic is generally the preferred option for babies and is also well tolerated in older boys and men.

    There are a number of methods for removing the foreskin, and each surgeon has their preferred technique, which may vary depending on the patient's age. In our clinic, we use a specialized circumcision tool called Gomco clamp for babies to minimize bleeding and protect the penis during the operation. In older children and adults, circumcision is performed with surgical scissors and absorbable sutures.

    Postoperative care involves providing pain relief—usually paracetamol is sufficient—and keeping the operation site clean. Swelling of the penis is common in the first few days but typically settles within a week.

    Risks & Complications of Circumcision

    • Infection (treatable with antibiotics)
    • Persistent bleeding (may need stitches/cautery)
    • Meatal stenosis (rare narrowing of urethral opening)
    • Too much skin removed (rare, inexperienced operator)
    • Stitch sinus, skin bridging, glandular ulceration (rare)
    • Anesthetic allergy (very rare)
    • Psychological trauma (mainly older children/teens)
    • Secondary phimosis or chordee if healing care not followed
    • In Auckland clinics, procedures are safe, with low complication rates (2–10%).

    FAQs

    Where can I get circumcision in Auckland?

    Circumcision is available at a number of specialist clinics and hospitals in Auckland. At CityMed Medical Centre, we provide circumcision services for babies, children, teenagers, and adults, performed by experienced doctors in a safe, professional clinical setting. Our central Auckland location makes it convenient for families, and we offer clear guidance on preparation, procedure, and aftercare.

    At what age can circumcision be done?

    Circumcision can be performed at any age, from newborns through to adults. In Auckland, the most common times are in infancy for cultural or religious reasons, or later in childhood and adulthood for medical or personal reasons. At CityMed Medical Centre, our doctors provide circumcision for babies (0-6 months), children (above 10 year old), teenagers, and adults, with anesthesia tailored to the patient’s age group.

    What is the recovery time after circumcision?

    Most patients recover within 7–10 days. Swelling and mild discomfort usually settle in the first week, and normal activities can gradually resume after this period. Our team at CityMed in central Auckland provides clear aftercare instructions and follow-up support to ensure healing is smooth and complications are minimized.

    Is circumcision painful?

    No. Circumcision is always performed with appropriate anesthesia. Babies typically receive a local anesthetic (penile block). Adults can be treated with either local anesthetic with options of sedation. Pain relief is provided after the procedure, and most patients find that discomfort is mild and well-controlled. At CityMed, we ensure patient comfort and safety at every stage of the process.

    How Do I Care For The Foreskin If Circumcision Is Not Done?

    The foreskin should be cleaned at each bath time, just like any other part of the body. This should be done by gently pulling the foreskin back as far as it will go without using force (as force may cause the foreskin to tear) and gently cleaning any material trapped underneath. Over time, the foreskin will gradually retract further until it becomes completely free.

    Once a boy is old enough to wash himself, he should be taught to clean under the foreskin daily. We also advise boys to develop the habit of pulling the foreskin back when urinating so that urine does not pass through the foreskin. This helps reduce irritation and infection. However, they must remember to pull the foreskin forward again after finishing.

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