Coil Fitting Form

 
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Before your appointment

We need to check a few things with you, when you submit this form we can call you back to discuss making an appointment with you.

Both types of coil offer excellent protection against pregnancy and millions of women around the world use coils as their contraception. The Mirena coil is also used as part of HRT treatment.

Important

If you are using Mirena only for contraception and not as part of HRT then you can now keep it for 8 rather than the original 5 years.

 

Coil Advice

You may not know what coil you want, a copper or hormone coil, this is ok we can discuss it at the appointment.

Learn more about the types of coil here:

 

Before your appointment

Important

If there is any chance of pregnancy, we will not fit the coil so please make sure you use contraception or do not have sex from the 1st day of bleeding with your period until the coil fit.

We cannot fit the coil if you might be pregnant, so we need you to answer the following questions:

Have you had sex since that period?: *
Have you had any sex without using contraception since that period?: *

If you are using the pill, implant or depo injection

If you are on the pill we can fit at any time in the cycle as long as you have taken ALL your pills. If your implant or injection are in date, then we can fit at any time in your cycle.

 

Wanting to change your coil?

Important

You must not have sex for 7 days before the new coil is fitted, in case it is not possible to fit the new device, as there would be a risk of pregnancy.

If you are having an in-date coil removed and a new one fitted, this can be done on any day except a day of heavy bleeding.

If your coil is out of date, you must have been using additional contraception or not have had sex since your last period. Sometimes, it will be necessary to take a pregnancy test.

 

After a baby

It is advisable to wait 4 weeks after having a baby before a coil is fitted. Please discuss other methods at your post-natal check or have a look here: 

Learn about contraception after having a baby

 

A swab is needed before fitting

There is a risk of infection at a coil fit, so we ask everyone to do a swab. Please collect a NAAT test from reception.

This needs to be done 2 weeks before your appointment. If your result is not back the week of the appointment, we may need to cancel.

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On the day

Important

We use a local anaesthetic numbing gel, so please let us know if you have any allergies.  

  • A female nurse and a female doctor will see you.
  • Please write down the date of your last period in advance.
  • Have something to eat, take some paracetamol or ibuprofen to make the procedure as comfortable as possible.
  • Please do not bring children, if possible, so we can concentrate on you.
Do you have any allergies?: *
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After the fit

Important

Please use condoms for 7 days after the fitting unless your doctor tells you differently.

  • There is a small increased risk of infection for the first 3 weeks after a fitting, so please report heavy bleeding or discharge to the practice.
  • There is a small risk of an ectopic pregnancy, a pregnancy which is outside of the womb, so please do a pregnancy test and report pregnancy symptoms, pain, or abnormal bleeding, to your doctor urgently.
  • You are recommended to check your threads to ensure that the coil is still present.
  • Further advice will be given at the appointment.
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Personal Details
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