Intra Uterine Contraceptives IUC & IUD - Coil Fitting

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Intra Uterine Contraceptives IUC’s – Copper Coils/IUD and Hormonal Coils

Miss Poonam Pradhan, Consultant Gynaecologist at MUMS -  fits and removes coils and specialises in female contraceptive services.

Here are the Coil/IUD services we offer at MUMS and the cost which includes the consultation, procedure and chosen IUC:

  • Copper Coil fitting - £350.00.
  • Hormonal Coil fitting - £450.00 
  • Coil removal -  £250.00 
  • Complex Coil removal where ultrasound is required ( often when the threads are not visible ) - £375.00 
  • Copper Coil fitting and removal - £450.00
  • Hormonal Coil fitting and removal - £550.00 

Complex Coil Removals and Re-fits where USS is required ( threads may not be visible )

  • Copper - £580.00
  • Hormonal - £650.00

Some people choose an IUC because of the length of stay of the coil.

At MUMS we offer both the copper and hormone coils.

Hormonal COIL – Intra Uterine system ( IUS)

The hormonal coil is a small T shaped plastic device containing the hormone progesterone. This is placed in the uterus ( womb) and two plastic threads hang down in the upper vagina through the cervix ( neck of the womb).

Different IUS’s are available in the UK.  These differ in their sizes and the amount of hormone in them and their duration – 3-5 years.

Miss Pradhan will be able to go through the coil benefits and risks and also discuss the insertion procedure with you during the initial consultation.

It is a very effective method of contraception – over 99% effective. 

It mainly acts by thinning the lining of the uterus, thus preventing the fertilised egg to implant.  It also thickens the mucus from the cervix making it difficult for the sperm to enter the uterus.  In some women it prevents the ovaries releasing an egg (ovulation).

Advantages

  • Depending on the IUS used it can last from 3-5 years. 
  • Periods can become lighter and less painful or can stop
  • Can be used during breast feeding.
  • Once removed, fertility returns to normal.
  • It is not affected by other medications.

Disadvantages

  • Period changes may occur – irregular, lighter or may stop.
  • Some women may suffer from hormonal side effects e.g., acne.
  • Some women may develop small fluid filled cysts on their ovaries which may come and go and may cause pain.  They usually do not require any treatment and can disappear

Risks

  • The IUS can move down in the uterus or be pushed out (displacement) of the uterus (expulsion).
  • It can also go through the uterus or the cervix (perforation) and come to lie outside the uterus in your abdomen.  This will then have to be removed by surgery.
  • There is a very small chance that you may get an infection in the womb during the first 3 weeks after an IUS insertion.
  • There is also a very small chance that if you get pregnant that the pregnancy may be in the tube of the uterus (ectopic pregnancy)

Procedure

Fitting the IUS – First an internal examination is carried out to find out the size and position of the uterus.

Fitting of an IUS is an uncomfortable procedure.  Hence the doctor would have advised you take painkillers before the procedure so that they are in your system.  Local anaesthetic in the form of a gel is routinely given, in and around the neck of the womb through a straw.

Further local anaesthetic can also be given, which are injections into the neck of the womb.  The doctor will discuss this with you before they give it.

The IUS is then placed in the uterus by a specialised technique.  The threads of the IUS are cut to about 3-4 cms in size.

Following the procedure, you may have some bleeding.  The doctor will also let you know when it will start to work.

Removing the IUS

First an internal examination is carried out to find out if the threads can be felt and seen.  Removal of the IUS can be slightly uncomfortable.  You may or may not require a local anaesthetic (same as for fitting of IUS).

Very occasionally the threads may not be seen.  An ultrasound scan of the uterus will need to be carried out to confirm the presence of the IUS.  Once it is known that the IUS is in the uterus the removal technique is slightly more complicated than when the threads are seen.  It involves introducing a forceps in the womb and removing the IUS.  This is carried out under a local anaesthetic (same as under the fitting procedure).

COPPER COIL - INTRAUTERINE CONTRACEPTIVE DEVICE (IUD)

The IUD is a small plastic and cooper device that is placed in the uterus (womb) and has nylon threads which hang down in the upper vagina through the cervix (neck of the womb).  Different IUDs are available in the UK. The majority of them are T shaped.  They last from 5-10 years.

Effectiveness and Mode of Action

It is a very effective method of contraception – over 99% effective.

The copper in the IUD prevents the sperm from surviving and changes the mucus from the cervix, preventing the sperm from reaching the egg.

It also prevents the fertilised egg from implanting in the uterus.

An IUD does not cause an abortion.

Advantages

  • It is effective as soon as it is put in the womb, lasting 5-10 years
  • It is a non-hormonal form of contraception
  • It is not affected by other medications.
  • It can be used during breast feeding
  • Once removed, fertility returns to normal

Disadvantages

  • Period changes may occur – they may become heavier, longer or more painful

Risks

  • The IUD can move down in the uterus (displacement) or be pushed out of the uterus (expulsion)
  • It can also go through the uterus or the cervix and come to lie outside of the uterus into your abdomen.  This will then have to be removed by surgery.
  • There is a very small chance that you may get an infection during the first 3 weeks after an IUD is inserted.
  • There is a very small chance you may get pregnant and that the pregnancy may be in the fallopian tube (ectopic pregnancy).

Procedure – Fitting the IUD

First an internal examination is carried out, to find out the size and position of the uterus.

Fitting an IUD is an uncomfortable procedure. Hence the doctor would have advised you to take painkillers before the procedure so that they are already in your system. Local anaesthetic in the form of a gel is routinely given in and around the neck of the womb through a straw. Further local anaesthetic can also be given which are injections into the cervix.  The doctor will discuss this with you before they give it.

The IUD is then placed in the uterus by a specialised technique.

The threads of the IUD are cut to about 3-4 cm in size.

Following the procedure, you may have some bleeding and / or pain.  The doctor will also let you know when it will start to work.

Removing the IUD

First – an internal examination is carried out to find out if the threads can be felt and seen.  Removal of the IUD can be slightly uncomfortable. You may not require a local anaesthetic (same as for fitting an IUD).

Very occasionally, the threads may not be seen. An ultrasound scan of the uterus will need to be carried out to confirm the presence of the IUD.  Once it is known that the IUD is in the uterus, the removal technique is slightly more complicated than when the threads are seen.  It involves introducing a forceps in the uterus through the neck of the womb and removing the IUD. This is carried out under a local anaesthetic (same as for fitting of an IUD).

Prior to a coil being fitted at MUMS you will be screened for STIs which is an instant test ( 15 mins ). This is a swab to check for Chlamydia and Gonorrhoea

Pricing

Contraception Consultation only with Gynaecologist £90
IUC Fitting and Removal  
Copper Coil Fit £350
Hormonal Coil Fit £450
Coil Removal  £250
Complex Coil Removal involving Ultrasound £375
Copper Coil Fit and Removal £450
Hormonal Coil Fit and Removal £550
Complex Coil Removal involving Ultrasound and Cooper Coil re-fit £580
Complex Coil Removal involving Ultrasound and Hormonal Coil re-fit  £650