Spital Clinic offers expert coil insertion and removal services for women seeking reliable, long-term contraception.
The information provided in this article is for educational purposes only and is based on NHS recommendations. It is not a substitute for professional medical advice. Always consult your doctor or a qualified healthcare provider for advice on medical conditions or treatments.
Coil insertion and removal refer to the procedures for placing or removing an intrauterine device (IUD), also known as a coil, in the uterus. An IUD is a small, T-shaped device made of plastic and copper or containing hormones that provide long-term contraception by preventing sperm from fertilising an egg or preventing the implantation of a fertilised egg in the uterine lining.
There are two main types of IUDs: the copper IUD (non-hormonal) and the hormonal IUD (levonorgestrel-releasing). The copper IUD works by releasing copper ions that create an inflammatory reaction toxic to sperm and eggs, while the hormonal IUD releases a small amount of progestin, which thickens cervical mucus and thins the uterine lining, making it difficult for sperm to reach and fertilise an egg.
Coil insertion is typically performed by a trained healthcare provider during an office visit. Before the procedure, your provider will review your medical history, perform a pelvic exam, and may test for sexually transmitted infections (STIs). You may be given a local anaesthetic or nonsteroidal anti-inflammatory drug (NSAID) to help reduce discomfort during the insertion.
The procedure typically takes about 15-20 minutes. During the procedure, you will lie on your back with your feet in stirrups. Your provider will insert a speculum into your vagina to visualise your cervix and may cleanse the cervix with an antiseptic solution. They will then use a special inserter to place the IUD through the cervical opening and into the uterus. The insertion process usually takes less than five minutes, but you may experience some cramping or discomfort. After the insertion, your provider will trim the IUD strings and provide you with instructions for follow-up care.
Coil removal is a similar process. Your provider will locate the IUD strings, which extend through the cervix into the vagina, and gently pull on them to remove the device. If the strings cannot be located or the IUD does not come out easily, your provider may need to use a special instrument to grasp and remove the device. Your GP or Gynaecologist will explain each step and ensure you're comfortable throughout. They can provide pain relief options if needed. Remember to arrange for someone to accompany you home after the procedure.
Coil insertion can be performed at any time during your menstrual cycle, although some healthcare providers prefer to insert the IUD during or immediately after your period to ensure that you are not pregnant. You can have a coil inserted at any age, including after childbirth or if you have never been pregnant. It is important to discuss your medical history and contraceptive needs with your healthcare provider to determine if an IUD is the right choice for you.
Coil removal can be performed at any time, but it is important to consider your fertility goals and have an alternative contraceptive method in place if you wish to avoid pregnancy. If you are planning to conceive, you can have the IUD removed at any time, and your fertility should return to normal quickly. If you wish to continue using an IUD for contraception, you can have a new device inserted immediately after the removal of the old one.
While coil insertion and removal are generally safe procedures, there are some potential risks and side effects to be aware of. These may include pain or discomfort during the insertion or removal process, bleeding or spotting between periods, heavier or more painful menstrual periods (with the copper IUD), and an increased risk of pelvic inflammatory disease (PID) in the first few weeks after insertion. In rare cases, the IUD may perforate the uterine wall during insertion, which may require surgical removal. There is also a small risk of the IUD being expelled from the uterus, which can reduce its effectiveness in preventing pregnancy.
Coil insertion and removal are procedures for women who are seeking a reliable, long-term, and reversible method of contraception. IUDs are suitable for most women, including those who have never been pregnant, have recently given birth, or are breastfeeding. They may be particularly beneficial for women who cannot use hormonal contraceptives due to medical reasons or personal preferences. However, IUDs may not be suitable for women with certain medical conditions, such as active pelvic infections, uterine abnormalities, or a history of cervical cancer. Your healthcare provider can help you determine if an IUD is an appropriate contraceptive option for you based on your medical history and individual needs.
We provide a comprehensive range of services, from private GP consultations and specialised men's and women's health care to advanced ultrasound scans and proactive health screenings, all within a reassuring and state-of-the-art environment.
You have a question about Coil Removal and Insertion? We have an answer.
The lifespan of an IUD depends on the type of device. The copper IUD (non-hormonal) can provide effective contraception for up to 10 years, while the hormonal IUD (levonorgestrel-releasing) can last for 3 to 5 years, depending on the specific brand. After this time, the IUD should be removed and replaced if you wish to continue using this method of contraception.
Yes, an IUD can be removed at any time before its expiration date. If you wish to discontinue using the IUD for any reason, such as planning a pregnancy or experiencing side effects, your healthcare provider can remove the device during an office visit. After removal, your fertility should return to normal quickly, and you can start trying to conceive or use an alternative contraceptive method immediately.
Some women may experience discomfort or pain during the coil insertion process, usually in the form of cramping or a pinching sensation. The level of discomfort can vary from person to person, but most women find the procedure tolerable. Your healthcare provider may recommend taking an over-the-counter pain reliever before the insertion to help minimise discomfort. After the procedure, you may experience some cramping or spotting, which should resolve within a few days.
At Spital Clinic, a private coil insertion with our expert consultant gynaecologists costs £450. We are open 7 days a week and can offer morning, day and evening appointments. If you are using private health insurance, please call the clinic to provide your authorisation number. To book, please click here.
In rare cases, an IUD may be expelled from the uterus, either partially or completely. This is more likely to occur in the first few months after insertion, during menstrual periods, or if the IUD is not inserted correctly. Signs that your IUD may have been expelled include not being able to feel the strings, feeling the device itself in your vagina or cervix, or experiencing unusual vaginal discharge or pain. If you suspect that your IUD has been expelled, use a backup method of contraception and contact your healthcare provider as soon as possible.
Yes, you can safely use tampons with an IUD. The IUD is placed inside the uterus, while tampons are inserted into the vagina, so they should not interfere with each other. However, it is important to be careful when removing a tampon to avoid accidentally pulling on the IUD strings, which could dislodge or remove the device. If you feel any resistance or discomfort when removing a tampon, stop and consult your healthcare provider.
You can resume sexual activity as soon as you feel comfortable after the coil insertion procedure. The IUD starts working immediately after insertion, so you do not need to use a backup method of contraception. However, it is important to note that IUDs do not protect against sexually transmitted infections (STIs), so it is still necessary to use barrier methods, such as condoms, for STI prevention.
Side effects can vary depending on the type of coil. Common effects include irregular bleeding and cramping, especially in the first few months. Copper coils may cause heavier, longer periods. Hormonal coils often lead to lighter periods or no periods at all. Some women experience mood changes, breast tenderness, or acne with hormonal coils. Serious complications like perforation or expulsion are rare but possible. Your GP will discuss potential side effects relevant to your chosen coil type. They'll explain how to recognise and manage common side effects. Remember to report any persistent or severe symptoms to your GP promptly.
Coils are among the most effective forms of reversible contraception. Both copper and hormonal coils are over 99% effective at preventing pregnancy. This means fewer than 1 in 100 women using a coil will get pregnant in a year. Coils are considered 'fit and forget' contraception, requiring no daily action to remain effective. Your GP can provide specific effectiveness rates for different coil types. They'll explain how to check for proper placement to ensure ongoing effectiveness. Remember, while highly effective against pregnancy, coils don't protect against STIs. Discuss comprehensive contraception and protection with your GP.
The duration of coil effectiveness varies depending on the type. Copper coils can last up to 5-10 years, depending on the specific model. Hormonal coils typically last 3-5 years, again varying by brand. Your GP will inform you of your specific coil's lifespan during insertion. They'll also advise when you should schedule a removal or replacement. Some women choose to have their coil removed earlier for personal reasons. Your GP can discuss options if you wish to have your coil removed before its expiry date. Remember, fertility usually returns quickly after coil removal if you're planning a pregnancy.
Using a coil does not affect your long-term fertility. Once removed, your fertility should return to normal quickly. Many women conceive within the first cycle after coil removal. There's no increased risk of infertility or ectopic pregnancy after using a coil. However, if you had an STI while using the coil, this could potentially impact fertility. Your GP can discuss fertility concerns and provide advice on conception after coil use. They might recommend preconception care if you're planning a pregnancy. Remember, if you don't want to get pregnant, use alternative contraception immediately after coil removal.
While coils are suitable for most women, they're not recommended in certain situations. Women with unexplained vaginal bleeding, certain uterine abnormalities, or current pelvic infections shouldn't use coils. Copper coils aren't suitable for women with Wilson's disease or copper allergy. Some medications may interact with hormonal coils. Your GP will take a detailed medical history to ensure a coil is suitable for you. They'll discuss alternative contraceptive options if a coil isn't appropriate. Remember to inform your GP of any changes in your health or medications while using a coil.
Coil insertion can cause discomfort, ranging from mild cramping to more significant pain. Everyone's experience differs. Some women describe it as similar to period cramps. The insertion itself usually takes only a few minutes. Taking pain relief before the procedure can help manage discomfort. Your GP might recommend local anaesthetic if you're particularly concerned about pain. They can discuss various pain management options with you. Remember to communicate any discomfort during the procedure. Your GP can pause or adjust their technique if needed. Most women find the discomfort manageable and short-lived.
Our medical centre is at 36 Spital Square, E1 6DY, City of London.