Gynaecology

Coil Insertion / Removal

at Cadogan Clinic, London’s Leading Cosmetic Surgery Specialists. 

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We've won 12 top industry awards since 2010 and regularly feature in the national and international press.

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All of our surgeons are registered with the General Medical Council.

What is an IUD/Contraceptive Coil?

An intrauterine device (IUD), also known as the contraceptive coil, is a small T-shaped plastic and copper device that's put into the uterus to prevent pregnancy. 

It works by releasing copper into the uterus, altering the cervical mucus, making it more difficult for the sperm to travel to the egg and survive. The coil also prevents a fertilised egg from implanting to the uterine lining.

The coil insertion is carried out by a specially trained medical professional and, once in place, it can be left alone and you do not have to do anything else. If inserted correctly, it is more than 99% effective as a contraceptive and can last for between five and ten years, depending on the type of IUD. If you are aged 40 or over at the time of coil insertion, the IUD can be left in place until you reach menopause or until you no longer need contraception.

An IUD can be removed by a medical professional at any time during your cycle and you will be able to get pregnant immediately. Having an IUD does not affect your fertility. 

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What is the procedure for Coil Insertion?

The coil insertion procedure can take place at any time during your menstrual cycle, as long as you are not pregnant. Once the IUD is in place, it provides immediate protection against pregnancy.

Before the coil insertion procedure, the doctor or nurse will check the size and position of your uterus. You will be tested for infections, including sexually transmitted infections (STIs).

The coil is T-shaped, with two ‘arms’ on either side. These arms are folded down and the IUD is put in an application tube.

A speculum is used to hold open the vagina, in a similar way to cervical screening. Once the  speculum is in place, the IUD is inserted in the applicator through the cervix and into the uterus. Once in place, the arms release to return the coil to a ‘T’ shape and the applicator is removed.

Every IUD has two thin threads at the bottom that hang down into the cervix and vagina. The doctor or nurse will trim these threads so only about an inch or two hangs down into the vagina. These threads will allow you to check yourself whether your coil is in the correct position.

The insertion itself should take around five or ten minutes.

Some women find coil insertion uncomfortable while some can find it painful. It is common to experience cramping during the coil insertion procedure. It may be advisable to take painkillers before or after your appointment. Alternatively the doctor may recommend local anesthetic. It is important to tell the doctor or nurse if you are experiencing any coil insertion pain or discomfort during the fitting.

Once the IUD is in place, take your time getting up as some women feel dizzy or faint when getting back on their feet after the coil insertion procedure. You may want to stay in the clinic for a few minutes after the fitting to make sure you feel OK to leave.

You may experience cramps and bleeding after coil insertion. This is normal and over-the-counter painkillers can help with any discomfort. 

What is the procedure for Coil Removal?

Coil removal is a straightforward procedure, carried out by a doctor or nurse at the clinic. There is no need for painkillers or local anesthetic as the process does not result in the same levels of discomfort or pain as the coil insertion procedure.

Just like coil insertion, you will be invited to lay down on the couch with your knees bent and legs apart. A speculum will be used to hold the vagina open. The doctor or nurse will use a special grasping tool to take hold of the coil threads, gently pulling on them. This will cause the arms on the IUD to fold up and the device will easily slide out of the vagina. If the threads can’t be found easily, the doctor or nurse will use a small brush in your cervix to try and locate them.

There is a very slim chance that the IUD may get stuck in the wall of your uterus, meaning it won't come out easily. If this happens, the doctor may need to use medicine to widen the cervix before removing the IUD with forceps. If you have a displaced IUD, this can be retrieved via a minimally-invasive procedure called a laparoscopy (keyhole surgery) where fine surgical instruments are passed through a tiny incision in the abdomen. You will be given pain relief for this procedure.

If you are having the coil replaced, a new one can be fitted at the same time as the old one being removed. If you are not having the coil replaced, then you can get pregnant immediately. If you are not having the coil replaced, use additional contraception, such as condoms, for the seven days ahead of your coil removal.

You may experience some cramping during the coil removal. Cramps and spotting or light bleeding may persist for several days or weeks after your coil removal. Over-the-counter painkillers should help to alleviate any discomfort.


The cost of Coil Insertion / Removal

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Included in this treatment

Up to two 60 minute consultations with a leading specialist plastic surgeon at our award-winning premises in Chelsea

Your procedure carried out at London’s leading specialist cosmetic surgery centre of excellence

24/7 on call nurse assistance 

Dedicated Patient Co-ordinator, as a personal point of contact through your journey with Cadogan 

A pre-operative medical assessment to ensure you are fit for surgery 

Comprehensive post-operative aftercare courtesy of our specialist cosmetic nurses


What are the benefits of the contraceptive coil?

The contraceptive coil is a highly-effective method of birth control. If inserted correctly, the coil is over 99 percent effective.

Other benefits of the contraceptive coil are:

  • It protects against pregnancy for five to ten years, depending on the type of coil.
  • Works immediately
  • Does not interrupt sex
  • There are no hormonal side effects, for example breast tenderness, acne or headaches
  • You can get pregnant as soon as it is removed
  • It is safe to use at IUD while breastfeeding
  • The coil is not affected by any other medicines
  • It carries a lower risk of serious health conditions, including breast cancer and blood clots, compared to the combined oral contraceptive pill
  • A coil can be fitted four weeks after giving birth
  • It can be fitted straight after an abortion or miscarriage to provide immediate protection
  • Easy to self-check whether the coil is still in place

The Patient Journey. A breakdown of what you can expect on your journey with us

We are deeply invested in ensuring that every step of your surgical journey with us is as informative and reassuring to you as it can be. This article outlines what you can expect at each stage of the journey

The Patient Journey

Frequently Asked Questions

You will need to have your coil removed or replaced if it has expired, as it won’t be working as well as it should do. If your coil has moved out of place, then there is a chance you may get pregnant. In very rare cases, a displaced IUD may cause damage to the uterus and will need to be removed.

If you got pregnant while the IUD is in place, contracted a sexually transmitted infection (STI) or experienced side effects such as heavy bleeding, severe headaches, or pain, then you must see a doctor for coil removal.

Unlike the copper coil, a mirena coil releases the hormone progesterone to prevent pregnancy. Known as an intrauterine system (IUS) it can stay in place for three to five years, compared to the IUDs five to ten year lifespan.

Because of the presence of progesterone, some women can experience headaches, acne, mood changes and breast tenderness after having the mirena fitted. These side effects are not associated with the copper coil.

It is normal to bleed for a few days after coil insertion or coil removal. It is also common for  periods to be heavier, longer or more painful in the first three to six months after an IUD is put in. You may also experience spotting or bleeding between periods during this time. If this persists, you should speak to a doctor.

Coil insertion pain is something that has been reported extensively in the press in recent years. Some women find coil insertion uncomfortable while others find the experience quite painful. We advise that taking painkillers before or after can help. A local anesthetic can also be used. Coil removal is generally not considered to be particularly painful.

Yes, you can have your private coil insertion and coil removal in London at the Cadogan Clinic. You can be assured of top-quality professional care and our highly-skilled team will ensure that you are treated with the dignity and respect you deserve.


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Founded in 2004 by world renowned plastic surgeon Mr Bryan Mayou, we now work with over 100 leading consultants and successfully treat over 20,000 patients each year. We have been winning industry awards since inception.

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We were founded in 2004 by world renown plastic surgeon Mr Bryan Mayou, best known for his pioneering work in the area of liposuction, lasers and microvascular surgery. We continue to collaborate with pioneers in our field.

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What are the risks?

Complications are rare although, as with all surgery, possible. Your surgeon will discuss each of these risks comprehensively at your consultation. Read our FAQ section for more information.


Gynaecology

Related Treatments

We believe in the delivery of excellent outcomes and results, and exceptional levels of service. Our outcomes are natural and long-lasting, and we remain the premier choice for cosmetic surgery treatments in the UK.


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2018

My Face My Body

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