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Specialists in contraception
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How does the coil removal work?
Prepare for your appointment
We ask you to abstain from unprotected sex for 7 days before your coil removal. This is to eliminate any chances of becoming pregnant once the coil has been removed.
You may also wish to take a painkiller an hour before attending your appointment and have something to eat or drink.
If you are looking to have a new coil fitted in, please let us know at the time of booking.
Assess the implant & discuss any questions you have
We will begin by undertaking a consultation to review your medical, sexual & contraceptive history.
We will be able to discuss any concerns you may have about the procedure and your future contraceptive needs.
Proceed to remove the coil
We will begin by inserting a speculum into your vagina to examine the cervix. In most cases, the threads are easily visible at the opening of the cervix.
Sometimes, they may be covered with discharge from the cervix and may require removing the discharge with a swab. However, there may be occasions when the threads are not visible at the cervix. This may be due to many reasons including missing threads or an expelled coil.
A further attempt is made in such cases using a special device called a thread retriever to get hold of the thread if it is in the cervix and remove the coil.
If we can locate the thread of your coil (with or without a thread retriever) and it is safe to do so, we will remove the coil in the same appointment (saving you a second visit).
Using a pair of long forceps, we will hold the end of the threads. Some clinicians can ask you to cough as they gently pull on the threads and remove the device. This will then be disposed of safely.
You may then re-dress and we’ll make sure you’re feeling alright and answer any further questions before the end of your appointment.
Some patients also take this time to have their routine smear/STI test, to save another visit – please let us know in advance if this is the case.
If you would like your coil to be replaced, please let us know beforehand so we can do this immediately after removing the old one.
(optional) Offer you a new method of contraception
If it is safe to do so, we can offer you a new method of contraception in the same appointment. Of course, we will discuss this in the consultation and you are able to come back at a later date should you wish.
Are there any side effects?
You may experience period-like pains and it is not uncommon to bleed for a couple of days afterwards. Painkillers such as paracetamol and a hot water bottle usually help to alleviate this.
If you are particularly prone to faint after a medical procedure/in a clinical setting, please let us know when booking your appointment.
Rarely patients can develop an infection after having their coil removed. If you are experiencing unusual pain, strong smelling discharge, have a fever or are experiencing any other symptoms indicative of an infection, please seek medical advice or visit your local GUM clinic.
Frequently asked questions
When can I have my coil removed?
A contraceptive IUD/IUS can be removed at any time for multiple reasons.
They may include, but are not limited to:
- Your coil has expired
- You’re experiencing side effects
- You want to try another method of contraception
- You no longer need a method of contraception
- You want to get pregnant
How long does the coil removal appointment take?
The appointment is approx. 15-20 minutes long including time for the consultation + procedure.
For those looking to start a new method of contraception in the same appointment may require 30 minutes.
How much does a private coil removal cost?
If we can feel/see the thread of the coil, then we charge £150 for a routine coil removal (the price shown is inclusive of the consultation fee).
Is the process of removing a coil painful?
The pain experienced can vary from person. Whilst some patients may not feel anything, it can be mildly painful for others.
Our specialists will walk you through what to expect and how to be prepared in the appointment. You may ask any questions you have then and discuss ways in which to make the procedure more comfortable.
Will I need any time off after the procedure?
Removing a coil is a straightforward and safe procedure. You can absolutely return to your daily activities as normal.
Can I bring someone with me?
Yes. You can bring someone with you to your appointment.
Can I see a female specialist?
We have both male and female specialists for private coil removals.
If you would prefer a female clinician, or you would like to have a female assistant present during your appointment, please do let us know when booking your appointment so that we can make the necessary arrangements for you.
What if I can’t find my coil threads?
Locating missing threads requires an ultrasound scan. It is presumed that effective contraception is not in place until it is confirmed that a coil is still inside the uterus and extra precautions are taken to ensure the contraception.
In such cases an ultrasound scan will be required to retrieve the coil and/or threads and further management requires highly specialist skills.
This is generally described as a complex coil removal and best undertaken in the NHS hospital setting. We currently do not offer this service.