Coil Fitting Checklist

If you are having a coil fitted or changed, please make sure you have done the following;

Decide which type of coil you would prefer;

Mirena - Coil containing progesterone. This lasts for 5 years and can stop you bleeding altogether or significantly reduce your bleeding. It is great for women who have heavy periods or who prefer not to have periods and can be continued until menopause. 

Copper Coil - This lasts for 5 or 10 years. Copper ions work as the contraceptive with this method, which means no hormones. You therefore continue to have your normal periods, which can sometimes be slightly heavier initially. It is great for women who have had problems with hormones in the past and can be continued until menopause.

  • Discuss with a GP, Nurse Practitioner or Nurse, either by telephone or face to face consultation. 
  • Pick up an information leaflet.
  • Have swabs taken to exclude infection.
  • Make an appointment in the Family Planning Clinic on a Monday evening or a double appointment with Dr Tarn or an appointment with Dr Saxton in the Minor Surgery Clinic on Monday afternoon.
  • Collect your prescription for the coil and bring it with you to your appointment.
  • Take paracetamol or ibuprofen before coming, as Coil fitting sometimes causes crampy pain. 
  • Use condoms or continue using your pill or injection until the coil is fitted 
  • If you already have a coil and are coming for a change you must abstain from sexual intercourse or use condoms for the week before the change.
  • The coil can be fitted at any time in your cycle as long as you have used appropriate contraception.
  • Bring a sanitary towel in case of any bleeding.

After Fitting;
  • We would suggest that you avoid sexual intercourse for a week to reduce the risk of infection and the coil falling out.
  • If the crampy pains carry on for more than a couple of hours after fitting please come back and see us.
  • If you feel unwell, have a fever, pains and discharge, please come in and see us, as you may have an infection.
  • It is worth checking for the threads yourself after the first week. We used to say that you should come in for a yearly check, but it is much better to be aware of what the threads feel like yourself.
  • Please come for a 6 week check. With the nurse if all is well and with the doctor who fitted the coil if there are any problems.
  • Avoid using tampons for your first period as the coil can sometimes get pulled out.

*We would ask you to keep the coil for a minimum of 6 months, unless there are significant problems.

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