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Our Services

Fit, exchange or remove my coil

Please click through the six slides below for an overview on coil fits, exchanges, and removals. These slides will help you learn more about hormonal and copper coils as a contraceptive choice. They will also help you best prepare for your appointment. 

Further down the page you'll find our frequently asked questions on coils.








Which coils do we offer?


We offer appointments to fit, exchange and remove contraceptive coils.

We offer two types of contraceptive coil; the copper IUD (intrauterine device) or hormonal IUS (intrauterine system). There are 3 different hormonal coils which all contain a very small amount of hormones and much less than the other hormonal contraceptives.

The Mirena hormonal coil now will be effective for 8 years and so doesn’t need exchanging before that time unless you are using it as part of HRT (hormone replacement therapy). Kyleena lasts for 5 years and Jaydess for 3 years.

We are only commissioned to fit coils for contraceptive purposes. For coils for non-contraceptive reasons you can access this from some GPs. Please contact your GP to discuss your coil fit or exchange if it is not for contraception.

If you are 55 or older you do not require contraception.


Testing for STIs before your coil fit

You need to be sure that you do not have a sexually transmitted infection before a coiI fit/exchange. You should have a Chlamydia test if you are under the age of 25, had sex with someone new in the last 3 months or had more than one sexual contact in the last year. You don’t need to test if you have had a negative chlamydia test after these risks. If you need a chlaymdia test, click here

If you currently have STI symptoms, please contact us to arrange an appointment.


Preparing for your coil fit or exchange


Before you book an appointment to have a device fitted, please follow the steps below.

1. Please use the links below to read the information on the NHS website and watch the videos:

This will give you the information to help you decide if this is the right method for you. If you would like to discuss your options further please call 01904 721111 to talk to a clinician.

2. How to make sure you are not at risk of being pregnant at the time of your fitting/exchange:

The IUD and IUS can usually be fitted at any time in your cycle, unless you could be pregnant. If there is a risk that you might be pregnant then we may have to reschedule your fitting/exchange.

If you are currently using a hormonal method (pill, patch, vaginal ring, injection and non-expired implant) or condoms please continue to use your current method correctly until your fitting/exchange.

If you are currently using the diaphragm or natural methods of contraception or have an expired implant or expired IUD/IUS device then you have two options:

  1. Do not have unprotected sex from day 1 of your last period, until your appointment (or avoid sex for three weeks if your periods are irregular)

  2. Arrange to use a short-acting form of contraception, for example, pill, patch, vaginal ring, for at least four weeks before the fitting.

3. On the day of your appointment:

  • Where possible we will fit your device at your appointment. However, there may be reasons why the fitting may need to be deferred. If this happens then the doctor or nurse who is seeing you will explain why.
  • Please allow at least one hour for the appointment. Although the procedure does not take this long, some people need a little more time to recover after the procedure.
  • We recommend that you eat and take pain relief an hour before your appointment.
  • Please bring sanitary protection, as you may experience some bleeding after the fitting.
  • We advise that you may not feel well enough to drive immediately after your fitting.
  • Please have someone available to call in case you feel unwell post fit.


Check that you're ready for your coil fit or exchange

Please view the self-assessment checklist to help you to decide if you are ready to have a coil fitting/exchange.  

Click here to download the self-assessment checklist.



Coil risks and side effects



Removing your coil

Please call 01904 721111 to book an appointment.
You need to abstain from sex or use condoms 7 days before the removal.
If your coil is out of date please ensure you are using reliable alternative contraception.

Information for under 18s:

During the consultation you will be asked some additional questions regarding your social circumstances, for example which school you go to and who you are living with. All our consultations are confidential. We will only share information about you if we think you or someone else is at risk. If information is shared, it is with services that can support you.

Frequently asked questions: 

Can I exercise as normal and go to the gym the same day after my coil is fitted?

Every person reacts differently to having a coil fitted. You should expect some cramping and light bleeding after a coil fit. So, most people tend to want to go home and relax afterwards. However, if you feel well enough, there is nothing to stop you from exercising. We only ask that you listen to your body.

Will my partner feel the coil or the threads during sex - will the threads be hanging outside my body?

Your coil will be fitted up inside your womb, so neither you nor your partner will be able to feel your coil. The coil strings or threads will be sitting just outside of your cervix. They will be around 2-3cm long. These are there so that you can feel for them and be reassured our coil is still in the right place, they are also what we gently pull on to remove your coil. Your partner may feel them at first during sex, they will not hurt them. Within a few weeks, these threads will have softened and tucked themselves away, so your partner will not feel them.

Will it be very painful after having the coil fitted?

You should expect to have some cramping for a few days, possibly up to 1 week following your coil fit. We recommend you take a simple pain killer like paracetamol or/and Ibuprofen regularly if you have cramping discomfort.
Having pain that’s not taken off by simple pain killers or that lasts longer than a week, is not expected and you should call the clinic if this happens.

How long will I bleed for after the coil fit?

You should expect spotting or light bleeding for a few days, possibly up to 1 week after having your coil fitted.
Having a hormonal coil fitted may change your bleeding pattern as well, so bleeding may be on and off for a while.
Any very heavy bleeding, where you are having to go through a lot of sanitary pads or bleeding with a lot of pain, is not expected and you should call the clinic if this happens.

Can I have a coil fitted if I’m on my period?

A coil can be fitted at any time during your cycle, if you are certain you are not pregnant.
However, if you are on a very heavy day of your period, there is a slight increased risk of the coil being expelled (falling out)
So, we do advise its best to avoid these days where possible.

Will I be okay to drive/go to work afterwards?

You should expect some cramping and bleeding after having your coil fitted, but most people do feel well enough to work and drive after. However, a small number of people can feel lightheaded, sick or dizzy after a coil fit.
We advise everyone to make sure they have someone that can pick them up from the clinic if they don’t feel well enough to drive/travel home alone.
Listen to your body, this is a procedure so you may wish to make alternative plans for the rest of your day.

Will having the coil fitted hurt?

Most people describe having a coil fitted as a mild to moderate, deep cramping discomfort. Every person’s body is different, some will hardly feel a coil being fitted, whilst others may find it painful. For most people, the part that causes the deep cramping will only last a few minutes and then your coil will be in.
We recommend taking Paracetamol and/or Ibuprofen 1 hour before your appointment.

Talk to your coil fitter if you have concerns. Every clinic can offer a local anaesthetic gel which we can apply to your cervix, this may help with discomfort, but it won’t take it away completely.

This is your body, and you are in control, so please say if you would like to pause the procedure, or if you want to stop.

Can I have unprotected sex as soon as the coil is fitted?

A copper coil is effective as soon as it is fitted, you can then stop all other contraception.
Hormonal coils have different guidance, this depends on what contraception you were on before you have a coil fitted. If you are on no contraception, you will need to avoid unprotected sex for 7 days after a hormonal coil is fitted. Unless you are within 7 days of the start of your period.
If you are taking the pill, it will depend on what you are taking and where you are in your packet.
If you have an Implant in or have Depo injection and they are in date, you can switch straight over to a hormonal coil without needing additional contraception.
The coil fitter will advise you what to do and when to stop other contraception, at your appointment.

Will sex hurt after having a coil fitted?

You may be cramping for the first few days after a coil is fitted. Once settled, sex with a coil in shouldn’t hurt for either you or your partner. You coil is fitted high up in your womb, so neither of you will be able to feel the coil.
If sex if painful or you think you can feel the coil, this should be checked, and you should contact the clinic.

Can I have the coil fitted if I’ve just given birth?

A coil can sometimes be fitted at the time of a vaginal delivery or a caesarean section. If a coil isn’t fitted within 48 hours of giving birth, you would need to wait until 4 weeks after the birth.
You would need to use another method from 3 weeks after the birth until the coil is fitted.
You may safely have a copper or hormonal coil when you are breastfeeding as it won’t affect the breast milk supply.

Can I get a coil if I have a sexually transmitted infection?

If you have a pelvic infection, an infection following having a baby or an abortion, or a sexually transmitted infection such as gonorrhoea or chlamydia it is important that your infection is fully treated and that you have no symptoms before a coil is fitted. Please contact the clinic to discuss.

Will the coil affect any medication I might be on?

If you are taking lamotrigine and have a hormonal coil fitted it is possible that the coil may increase the levels of lamotrigine. Please seek advice from the clinic before attending for your coil fit.

It is very uncommon for coils to affect medicines. We recommend you bringing a list of your medicines with you and discussing these with your coil fitter.

Can I travel abroad if I have just had a coil fit?

Yes, as long as you feel well, the coil shouldn’t restrict you travelling.

Can I have the coil removed at any point if I don’t want it anymore?

A coil can be removed at any time by a trained nurse or doctor gently pulling on the threads. We recommend trying the method for at least 3 to 6 months to see if it suits you. If you don’t want to be pregnant avoid sex without a condom in the 7 days before your coil is removed.

What should I do if I get side effects?

Some people experience side effects like changes to their bleeding pattern, acne, headaches, or breast tenderness. These are usually mild and get better after the first few months. If you are concerned, you can contact the clinic or your GP for advice.

What’s the difference between the hormonal coils? Is a hormonal coil like having the implant?

The hormonal coils release a very low dose of progestogen hormone which is much less than that in a contraceptive implant. There are different types and sizes:
Mirena contains the most progestogen (52mg) and works for 6 years. If you’re aged over 45 when a Mirena is fitted, it’ll work as contraception until after the menopause when contraception isn’t needed. It is thought to be similar to taking one progestogen-only pill a week.
In the first six months, irregular bleeding or spotting is common. Periods usually become lighter, shorter, and less painful over time. Many people find their periods stop altogether by a year of use. This isn’t harmful and can be useful if you have heavy, painful periods

Kyleena and Jaydess are smaller and contain less hormone (19.5mg and 13.5mg progestogen). This is thought to be similar to taking one progestogen-only pill a month. Kyleena works for 5 years and Jaydess for 3 years.
Periods usually become lighter and shorter and sometimes less painful.
Copper coils do not contain any hormones and are effective for 5 to 10 years depending on which type is fitted. If fitted after age 40 years it will work until after the menopause.
Many people find that although the copper coil doesn’t affect the frequency of bleeding, periods may be heavier, longer, or more painful.

Are tampons and moon cups safe to use after a coil fit?

It’s safe to use tampons or a menstrual (moon) cup. It is possible that using a menstrual cup may increase the risk of a coil being expelled so make sure that the menstrual cup is put in the correct place and not too high in the vagina. Take care not to pull on the IUS threads when you’re removing tampons or a menstrual cup.

What are the risks of having a coil fit?

There’s a small chance of you getting an infection during the first few weeks after an IUS is put in.
The coil can be pushed out by your uterus (expelled) or it can move. You will be taught how to check the threads so that you know it is still in place.
It’s not common, but there’s a very small risk that the coil might go through (perforate) your uterus or cervix when it’s put in. This may cause pain or there may not be any symptoms and the uterus or cervix would heal. The risk is small but if it did happen the coil may need to be removed through surgery.
Although you are unlikely to become pregnant when you have a coil in, if you did, there is a small risk that it may be an ectopic pregnancy.
The person fitting your coil will be able to answer any further questions that you may have.

Booking your appointment:

Call YSH booking line on 01904 721111 to arrange an appointment.

  • Please allow at least 45 minutes for the appointment.

YSH is a training service. This means there may sometimes be a qualified nurse or doctor in training working alongside the YSH practitioner at your appointment.