Sexual health


Everyone should regularly check their intimate health, even if there are no specific complaints. You should prevent issues and take steps to protect your health as early as possible.

For women this may include choosing age- and lifestyle-appropriate contraception, maintaining regular menstrual cycles, cytological tests for early discovery of cancerous changes, relief for menopausal symptoms, and much more.

Men should regularly see a men’s health specialist to prevent health issues and restore peace of mind. Prostate cancer is the most commonly diagnosed cancer in Estonian men.

Important to know

  • Men’s health examinations are meant for men of all ages.
  • Regular gynaecological examinations are necessary for women of all ages.
  • For intimate health examinations, make an appointment with our general practitioner (GP), gynaecologist, or urologist.
  • The consultation price does not include the cost of any examinations or analyses.

Regular gynaecological examination

Every woman should attend a gynaecological examination at least once a year, even if they have no complaints. The examination includes a thorough pelvic exam and consultation regarding the use of contraception, the prevention of sexually transmitted disease, and any other activities necessary to stay healthy.

The examination includes a PAP-test for the early detection of cellular changes in the cervical mucosa, the presence of which could indicate a pre-cancerous state which may progress into a malignant tumor within 10-15 years. Regular gynaecological examinations enable the early detection of such changes.

In the course of the examination, the gynaecologist will also perform ultrasound imaging. Genetic testing of hereditary cancer risk may be suggested if necessary.

The regular gynaecological examination is performed by a gynaecologist or by our GPs who have received additional training in the field of gynaecology and have long-term experience with following women's intimate health. Intrauterine devices and implants are placed by a gynaecologist.

The price of the gynaecological examination is 50 euros if performed by a GP, or 55 euros if performed by a gynaecologist.

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  • Dr Urve PappaDr Urve Pappa
  • Dr Eve KivistikDr Eve Kivistik

Dr Urve Pappa

Estonian, English, Russian, Finnish
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Dr. Eve Kivistik

General Practicioner
Estonian, English, Russian, Finnish
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Consultation on pregnancy prevention

Our GPs or gynaecologists provide sexual health consultation, discuss various means of contraception and help you pick the most suitable solution.

The use of contraception should be an informed and healthy choice. Today, there are many forms of contraception, including, but not exclusively, condoms, pills, patches, vaginal rings, implants, intrauterine copper or hormonal spirals, vaginal suppositories, and vaginal foam.

For all these methods, side effects and interactions, efficacy, individual clinical status, age, and many other factors must be taken into account. We will help you make a careful, informed, and healthy choice to protect yourself from unwanted pregnancy the way you prefer to do it. Intrauterine devices and implants are placed by our gynaecologists Dr Ailen Aluri and Dr Urve Pappa.

The price of the consultation is 50 euros for a GP, or 55 euros for a gynaecologist.

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Insertion of contraceptive implant

The insertion of an implant under the skin of the upper arm is an increasingly popular method of contraception, but the implant may only be inserted and removed by a trained specialist. The implant itself is a small flexible plastic rod which releases the contraceptive into the bloodstream at a constant rate over time.

The implant is suitable for women of all ages (nulliparous, parous, or breastfeeding) who are in need of effective contraception. The implant is an especially suitable solution for women for whom estrogen-containing contraception, such as pills, vaginal rings or patches, are contraindicated.

A doctor uses a special needle to insert the implant under the skin on the upper arm, where it may remain for up to three years. The insertion is painless, because local anesthesia is applied. The price of the insertion by a gynaecologist is 90 euros.

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Dr Urve Pappa

Dr Urve Pappa

Estonian, English, Russian, Finnish
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Good to know

  • Procedure is mostly painless. It is carried out under local anesthesia.
  • It is recommended to avoid physical activity and being sexually active in the 48 hours.
  • Vasectomy is not an immediately effective contraceptive method. For the next three months, alternative methods of contraception are recommended. Before quitting alternative methods, a semen analysis needs to be run to make sure that the procedure has been successful. A human body can recanalise the tubes in about 2% of the cases.
  • Vasectomy does not affect sexual functioning or increase any health risks.


Vasectomy (also called male sterilisation) is a male contraceptive method where the tubes that carry sperm from the testicles (i.e. vas deferens) are cut or blocked. Thus, the sperm do not reach semen or seminal vesicles. This simple minor surgery is nearly 100% effective method of contraception. It is important to know that vasectomy is a permanent method of contraception.

Legally, vasectomy is allowed in Estonia for men who are at least 35 years old, or for men who have at least three children or have another medical indication. Urologists, Dr Aare Mehik and Dr Toomas Tamm perform vasectomy at Confido. Please set an appointment with one of our urologists to discuss vasectomy options.

The duration of the procedure is 20-30 minutes + observation for 40 minutes.

Price of the procedure 450 €
Duration of the procedure 20-30 minutes

Vaccination for cervical cancer (HPV)

Cervical cancer is the second most commonly lethal malignant tumor among young women (15-44 years) in Estonia and in Europe in general. The most common cause by far of cervical cancer is infection with the human papillomavirus or HPV. There are more than a hundred types of papillomavirus, and only a portion of them is associated with cancer.

Vaccination helps prevent cervical cancer. While vaccination does not completely eliminate the risk of developing cervical cancer, it reduces the risk considerably. Depending on age, vaccination includes 2-3 injections administered in the course of 12 months.

Vaccination for cervical cancer or HPV is above all recommended for young women, but can provide women of any age protection against the viruses which most commonly lead to cervical cancer.


  • Dr Toomas TammDr Toomas Tamm
  •  Dr Aare MehikDr Aare Mehik

Dr. Toomas Tamm

Estonian, Finnish, English, Russian
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Dr Aare Mehik

Estonian, Finnish, English, Russian, German, Swedish
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Men’s health examination

All men should regularly see a men’s health specialist for the early detection of risk factors for common prostate conditions, bladder problems, and of serious health issues impacting the functioning of the genital tract and their sex life.

Prostate conditions are very common. Therefore men of all ages, especially middle aged men, should undergo regular prostate examinations to detect any risk factors as early as possible. You should definitely see a doctor if you spot any changes in your testicles, as testicular cancer progresses extremely quickly. Do not hesitate to turn to a doctor if you suspect you might have a sexually transmitted infection.

At Confido, men’s health examinations are performed by esteemed urologists Dr Toomas Tamm and internationally acknowledged Dr Aare Mehik. If you have any concerns or issues, we recommend that you consult the doctor, who will advise you on the examinations and tests you may require. In addition to the price of a consultation, any examinations or tests will be charged additionally.

Read about other examinations:
Prostate examination »
STD testing package »

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The earlier the patient talks about his problems to a doctor, the more the doctors can do for him.