The Desire Clinic
The honest answer first
Three steps. No waiting room, no repeating your story to three different people, and no appointment that turns out to be a sales call in disguise. Here's exactly what happens, in order, so there are no surprises between clicking through and having a plan.
Step 1 — Free self-assessment
A few minutes, online, from your sofa, no commitment and nothing to pay. It's built on the same validated screening questions clinicians use — not a marketing quiz — so your answers already tell you, and your clinician, where things actually stand before anyone speaks to anyone.
Step 2 — A 15-minute consultation with your clinician
A focused, structured conversation with one of our GMC-registered clinicians, part of Dr Nikki Ramskill's own clinical team. They'll go through your history, your current medications and your wider health picture. Where it's safe and appropriate to do so, this is the appointment where treatment is prescribed — not a pre-screen, not a taster session before the 'real' appointment. This is the real appointment.
Step 3 — A longer session, if your clinician needs one
This isn't something you choose from a menu — it's a clinical judgement, made by your clinician, in the moment. If anything in your picture needs a fuller look before they can prescribe safely — an unclear history, a possible contraindication, something that doesn't fit a straightforward picture — they'll tell you plainly and book the longer appointment. Nothing gets prescribed until they're confident it's the right call for you specifically.
This is standard practice for regulated online prescribing in the UK: the clinician decides when more time is needed, not the patient, and not a checkout page. It's exactly what separates a proper pathway from the unregulated sites that never ask you a single safety question — see our note on buying treatment online if you've come across one of those.
Why 15 minutes is enough for most women
It sounds short next to the version of "medical appointment" most of us picture. In practice, it works because everything that would normally eat into appointment time — your history, your symptom pattern, the basics your clinician would otherwise have to ask from scratch — has already been captured in your free self-assessment. Your clinician isn't starting cold; they're starting from a structured picture and using the consultation for the parts that actually need a live conversation: judgement, questions, and safety-netting. That's also exactly why the escalation step exists — so "focused" never quietly becomes "rushed."
What you'll need before your consultation
Nothing you don't already know. A rough list of current medications helps, and knowing when things changed for you is useful — but if you've completed the free self-assessment, your clinician already has the structured version of that story in front of them.
What happens after
Where treatment is prescribed, it's dispensed and followed up by people accountable to you — not a one-off transaction. Where your clinician wants a longer look first, that appointment gets booked before you leave the conversation, not left for you to chase. Either way, you leave with a plan, not a shrug.
Quick answers
Is the 15-minute consultation really the prescribing appointment? Yes — where it's safe and appropriate to do so. It isn't a pre-screen ahead of a separate prescribing step.
What if my clinician needs more time? They'll tell you directly and book a longer session. That's their clinical judgement, made in the room, not something you request or pay extra to unlock.
Do I need to prepare anything? Just complete the free self-assessment first — it does most of the groundwork for you.
Who are the clinicians? GMC-registered clinicians, part of Dr Nikki Ramskill's own clinical team — no external referral, no handoff to a different provider partway through.
Take the private Desire Check → — the first of the three steps, and the one that makes the 15 minutes that follow count.
Go deeper
Thinking of buying treatment for low desire online? Read this first.
Thinking about buying an unlicensed treatment online without a prescription? Here’s what those websites won’t tell you — and the safer, regulated route instead.
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Rehearsed the sentence a hundred times and never said it out loud? Here’s exactly how to raise low libido with your GP — what to say, and what a good appointment looks like.
Why has my sex drive disappeared?
Lost your libido and don’t know why? Here’s the honest answer — the real causes, the science behind them, and what a proper clinical assessment looks like.