Coil insertion or replacement form
Coils are inserted at the Surgery by Dr Moss.
There are two main types of coils that can be inserted at Southam Surgery:
- Hormonal coil (Intrauterine System – IUS)
- Non-hormonal coil (Intrauterine Device – IUD)
You can find more details about both types of coils below and on the NHS website.
If you are considering having a coil inserted or replaced, please:
-
- Read the information on this webapge
- Watch the video Having an IUD/IUS contraception fitted
- Carefully read through the consent form (PDF, 472KB)
- Submit the online form at the bottom of the this page.
Your Appointment
Before your Appointment
It is important that there is no risk of pregnancy on the day you attend for your appointment. If there is a risk of pregnancy we will be unable to go ahead with the procedure.
If you are worried regarding pregnancy risk at any time please contact the surgery or local sexual health clinic for advice.
If you are having a coil inserted for the first time, your coil has expired for contraception or you have been told not to rely on it for contraception (for example, a scan shows it is low in your womb), please ensure you have not had unprotected sex since your last period or for 3 weeks (21 days) before your appointment. Either use condoms or do not have sex.
If you are attending for a coil replacement, please ensure you have not had unprotected sex for 7 days. This is because sperm can survive for 7 days and if the coil replacement is not possible there could be a chance of pregnancy.
On the day of your appointment
It is ok to go ahead with the procedure if you are bleeding, unless this is very heavy. Please contact the surgery if you are unsure if you should attend.
We recommend that you take a painkiller (such as paracetamol or ibuprofen) up to one hour before your appointment and have something to eat and drink.
Please be aware that children will not be able to come into the room with you when you have the procedure and there are no childcare facilities.
After the procedure
Most people are well enough to carry on with their usual activities after the procedure, but it is usually advisable to rest.
After the procedure you will usually feel well enough to drive, walk or take public transport but it is good to have a backup plan and someone to call to take you home if necessary.
Information about the Different Types of Coil
The Hormonal Coil (IUS)
Hormonal coils can be used for contraception, management of heavy bleeding and, in some cases, as part of HRT.
The different coils vary in size, hormone dose, and how long they remain effective.
Mirena
- Effective for 8 years if fitted under age 45
- Effective for 10 years if fitted over age 45
- If used as part of HRT, it must be replaced every 5 years
- We can only fit Mirena coils for contraceptive purposes in women aged 51 years or under
Kyleena
- Effective for 5 years
- Smaller than Mirena and contains a lower hormone dose
- Cannot be used for HRT
Jaydess
- Effective for 3 years
- Same size as Kyleena but with the lowest hormone dose
- Cannot be used for HRT
Hormonal coils will usually make periods lighter or cause them to cease but can cause erratic bleeding or persistent spotting which does not always settle.
The Non-Hormonal Coil (IUD)
Also known as the Copper Coil, this device is hormone-free and can only be used for contraception, not HRT. There are 5 and 10 year options available. A 10-year copper coil inserted from the age of 40, can remain in place until age 55, when natural menopause is assumed.
For some people, copper coils can be associated with heavier, painful and longer periods.
