Birth Control
Online

A flat $79 online visit covers your provider’s review. If you’re prescribed a method, it’s filled at the pharmacy of your choice at their price — most generic birth control is inexpensive, and you can look up exact prices at Cost Plus Drugs. No subscription and no hidden fees. Members ($69/mo) have message visits included.

Yes — choose “refill” in the questionnaire and tell us your current method. Your provider reviews your health and can continue it if it’s still a safe fit. Prescriptions are written without automatic refills, so each refill is a new visit — that’s deliberate: it’s how your provider keeps confirming your birth control is still safe for you as your health changes.

You can request a 3- or 6-month supply, or let your provider decide. The final quantity is your provider’s call, based on their review, your blood pressure, any conditions that affect your options, the method chosen, and what your pharmacy stocks.

Often yes — but usually not with estrogen. Smoking, elevated blood pressure, and migraine with aura each make estrogen-containing methods (the combined pill, the patch, the ring) generally not recommended. The progestin-only pill contains no estrogen and is often still an option. The questionnaire screens for all of this, and your provider confirms the safest choice.

Blood pressure is the key safety check for estrogen-containing birth control. Without a recent reading we usually can’t prescribe an estrogen method — though your provider may still be able to offer a progestin-only pill, or ask you to send a reading. Free blood pressure machines are available at most pharmacies and grocery stores.

Yes, for many people. Some combined pills — including those with norgestimate or drospirenone — are FDA-approved to help moderate acne (for people who also want birth control) by reducing the hormones that drive excess oil. It usually takes about 2–3 months to see a difference. Your provider chooses one that fits your health history.

The most common are light spotting between periods (usually settles within 2–3 months), nausea, breast tenderness, headaches, and mood changes. Most are mild and improve with time. If something bothers you, message us instead of stopping on your own — we can help you switch to another option. Seek emergency care (call 911) for chest pain, trouble breathing, severe leg pain or swelling, a sudden severe headache, or vision changes.

Hormonal birth control mainly works by preventing ovulation (so no egg is released) and by thickening cervical mucus so sperm can’t reach an egg. Taken consistently and correctly, it’s very effective. Remember it does not protect against sexually transmitted infections — condoms do that.

Emergency contraception works best the sooner it’s taken. Levonorgestrel, such as Plan B, is available over the counter at any pharmacy — no prescription needed — and works best within 72 hours (3 days). Ulipristal (brand name ella) is prescription-only, can work up to 5 days, and may work better later in that window. If you take ella, ask us when to restart regular birth control — starting hormonal birth control too soon can reduce ella’s effect — and use backup (condoms) in the meantime. Some patients may also be candidates for a copper IUD placed by an in-person clinician. Starting a regular birth control pill today does not undo a pregnancy risk from the last few days, so use emergency contraception for that.

Yes. Pick “switch” in the questionnaire and tell us what hasn’t worked. Your provider can recommend an alternative based on your history and any side effects you’ve had. A switch is a new visit, like any prescription decision.

About 90 days in, we email you a free check-in: how your method is working, any side effects, and a fresh look at the safety basics like blood pressure and smoking. It’s a safety check-in — not a refill request — and if anything needs attention, your provider tells you the next step. If you develop side effects sooner, message us anytime.

No. Goza is cash-pay — a flat $79 visit, no insurance required. You choose your pharmacy, and options like Cost Plus Drugs keep generic prices low.

The $79 visit fee covers your provider’s clinical evaluation, whether or not a prescription is the safe outcome — if a method isn’t right for you, your provider will explain why and suggest next steps. If we determine your situation isn’t appropriate for telehealth before any clinical decision is made, you receive a full refund. Details in our Patient Financial Consent.

For most people, yes. There is no medical need to have a monthly period while on hormonal birth control, and skipping or shortening periods this way is generally considered safe. A one-time delay (norethindrone acetate) postpones a single period and is not birth control; long-term skipping uses continuous or extended-cycle birth control for fewer periods over the year. Your provider confirms what fits you — see our Period Delay service for the one-time option.

You must be 18 or older to use Goza, and physically located in Florida at the time of your visit — residents and visitors alike. If you’re under 18, please see a local provider in person.