Contraception
Coil (IUD/IUS) insertion & removal in clinic
Hormonal (Mirena, Kyleena, Jaydess) or copper coils fitted in clinic under local anaesthetic, with ultrasound guidance for accurate placement.
- In clinic
- 30 minutes
- Local anaesthetic (where needed)
Overview
About this procedure.
Coil fittings can feel daunting, particularly if you have had a difficult experience before. Booking with Mr Orabi gives you a longer appointment, the choice of local anaesthetic, and ultrasound confirmation that the coil is in exactly the right place.
Preparing for your appointment: take paracetamol or ibuprofen one hour before, and let the team know in advance if you have any concerns about pain.
Setting
In clinic
Duration
30 minutes
Anaesthetic
Local anaesthetic (where needed)
Indications
What it's for.
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Long-acting, highly effective contraception
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Heavy menstrual bleeding (Mirena)
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Endometriosis and adenomyosis (Mirena)
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Polycystic ovary syndrome (for endometrial protection)
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Part of HRT regimens (Mirena)
On the day
How it's done.
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A speculum is used, similar to a smear test
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Local anaesthetic can be applied to the cervix if you would like
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The coil is passed through the cervix into the womb using a thin applicator
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Ultrasound is used to confirm correct positioning
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Coil removal is even quicker, usually a brief tugging sensation as the strings are gripped and the coil withdrawn
Recovery
After your procedure.
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Mild cramping and light spotting for a few days is normal
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Paracetamol or ibuprofen helps with discomfort
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Return to normal activity immediately
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Use additional contraception for the first 7 days unless fitted within 5 days of your period
Benefits
Why this approach.
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Long-acting contraception (3–8 years depending on device)
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Reversible: fertility returns immediately on removal
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Mirena often dramatically reduces or stops periods
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Hormone-free option (copper coil) available
Risks
What to be aware of.
- Cramping and bleeding for a few days
- Expulsion / the coil coming out (uncommon)
- Perforation of the womb, rare (around 1 in 1,000)
- Infection in the first few weeks (uncommon)