Sawston Medical Centre, Linton Health Centre, Market Hill Surgery,
Barley Surgery, Shelford Health Centre & Royston Health Centre.

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Sawston Medical Centre, Linton Health Centre, Market Hill Surgery, Barley Surgery, Shelford Health Centre & Royston Health Centre.

Coil Fitting

Pre-fit Coil Advice

Before your appointment

Your appointment is for half an hour – please keep children at home (babies are welcome).

Please make sure that you have something to eat before your appointment.

The fitting process can be uncomfortable and you may wish to take a tablet painkiller that is safe for you, an hour or so before the procedure.

It is important that there is no chance you could be pregnant when we fit your coil. Do not have sex from the start of your period until the insertion, unless you are using a method of contraception reliably and consistently.

  1. If you are taking the pill, continue to take it carefully up until the day of fitting.
  2. If you have had a contraceptive injection, come before the injection runs out (12 weeks and 5 days since the last injection).
  3. If you have an implant in place, we prefer to fit the coil first and take the implant out, at least one week later.
  4. If you are using condoms, it may be best to try and abstain, as if you have a burst condom and take emergency contraception in the 7 days before fitting, we probably cannot fit the coil until you have had a normal period.
  5. If you already have a coil in place, please either abstain from sexual intercourse or use a condom carefully in the 7 days before you attend the clinic. Sperm live in the pelvis for 7 days, and a new coil may take 7 days to work, so there is a theoretical chance of pregnancy if this advice is not followed.
  6. If your coil is out of date you should not have sex for 21 days (3 weeks) before the appointment so that a pregnancy test is valid.

If you are worried you may have a vaginal infection please book for swabs prior to the fitting with one of our nurses.

It is OK to have a coil fitted if you are bleeding; please attend your appointment as usual. Only very heavy bleeding would stop placement.

Risks of the procedure include:

  • Bleeding
  • Pain
  • Infection
  • Contraception failure (< 2/1000 over 5 years)
  • Uterine perforation (2/1,100 if breastfeeding)
  • Expulsion (1/20), ectopic pregnancy (overall risk reduced compared to women not using contraception). Cervical shock (a temporary episode of faintness as the coilis inserted, usually treated by stopping the procedure).
  • Change in bleeding pattern to heavy, irregular, prolonged and/or absent bleeding, hormonal side effects.

How soon does it work

Copper coils work immediately.

Hormonal coils – (Mirena, Jaydess, Kyleena, Levosert):    

  1. Fitted up to day 7 of menstrual cycle – works immediately
  2. Fitted after day 7 of menstrual cycle – works after another 7 days

After the fit

  1. Sex – we would advise waiting for 24 hours before having sex to allow the coil to settle.
  2. Tampons – in the first 24 hours use a pad if you need to. This will give the coil time to settle.
  3. Moon cups– manufacturers recommend delaying use of a moon cup for six weeks after having a coil fitted. They also recommend that you make sure the cup is low in the vagina and that you  break the seal before you remove it.
  4. Exercise including swimming– it is best to wait 24 – 48 hours before exercise to let the coil settle. If you are still experiencing pain after the fitting it is best to wait until that stops.
  5. X-rays including an MRI – having an Xray including an MRI is generally fine but always tell the person doing your Xray or scan that you have a coil.

Follow up

At the 6 week point please check your cervix thread:

  1. Clean your hands with soap and water
  2. Either sit or squat
  3. Insert your index or middle finger into your vagina until you touch the cervix (which should feel firm like the tip of your nose)
  4. If the IUD threads feel longer or shorter than the last time you checked, or you cannot feel them, it is possible that your IUD may have moved. Please book an appointment with one of our nurses to check.