Private Coil Fitting & Removal
Consultant-led
Chelsea Clinic

Most women describe strong period-type cramping for the minute or two when the coil is passed through the cervix, which then settles quickly. Some feel very little. It is more uncomfortable if you have never given birth. Simple pain relief an hour beforehand helps, and local anaesthetic to the cervix is available if you want it. Nothing happens without your say-so and you can ask to stop at any point. Our blog goes into more detail on pain during coil fitting and pain afterwards.

The fitting itself takes about five to ten minutes. Allow around 30 to 45 minutes for the whole appointment, which includes the consultation beforehand, any checks that are needed, and a short rest afterwards before you leave. A removal is much quicker, usually a matter of seconds.

At Ovara Health, insertion of a coil is £420 and an initial consultation with a consultant gynaecologist is £300. A Nexplanon implant, inserted and/or removed, is £420. Follow-up appointments are £260 and a pelvic or transvaginal ultrasound is £300. Removal of an embedded or migrated coil as a sole procedure is £657. Every cost is confirmed with you before anything is booked.

No. You can book directly as a self-pay patient without a GP letter or referral. If you are claiming on private health insurance, your insurer will usually want a referral for pre-authorisation, and our reception team can help you arrange it before your appointment.

It depends on the type. Mirena and Levosert are licensed for eight years of contraception, five years when used for heavy periods, and five years as the progestogen part of HRT. Kyleena lasts five years and Jaydess three. Copper coils last five or ten years depending on the model. Your consultant will tell you the exact date yours is due and note it for you.

Yes. A coil is suitable whether or not you have given birth, and it does not affect your future fertility. Fitting can be more uncomfortable if you have never had a baby, because the cervix is tighter, which is why a smaller device such as Kyleena or Jaydess and the option of local anaesthetic are worth discussing beforehand.

Missing threads usually mean they have curled up inside the cervix rather than that anything has gone wrong. Occasionally the coil has moved or, rarely, been expelled without you noticing. We scan on site to find it, then remove or replace it at the same visit where possible. Use additional contraception until it has been checked, and book an appointment rather than waiting to see.

In most cases yes, as long as pregnancy can be reasonably excluded. Some women find fitting slightly easier during or just after a period because the cervix is a little softer. If you are having a coil removed and do not want to conceive, you will need to avoid sex or use condoms for seven days beforehand, because sperm can survive that long.

Cramping and spotting for a few days is normal, and many women have irregular bleeding for the first three to six months while the womb settles. With a hormonal coil, periods usually become much lighter after that and often stop. With a copper coil, periods may be heavier or longer. Contact the clinic if you have severe pain, heavy bleeding, a temperature or offensive discharge. There is more in our guide to coil advice and aftercare and on bleeding after fitting.

Yes. A hormonal coil is a recognised first-line treatment for heavy menstrual bleeding and often reduces it substantially, which is why it is usually tried before any surgery is considered. Your consultant will also look for a cause, such as fibroids or polyps, rather than treating the bleeding on its own.

Yes. A Mirena is licensed for five years as the progestogen part of HRT, protecting the womb lining while you take oestrogen, and it provides contraception at the same time. That makes it a practical option in the perimenopause. Our menopause consultants can set the whole thing up in one place.

Most patients are offered an appointment within 48 hours of getting in touch, including Saturdays. No GP referral is needed. You can book by phone, by email, or by completing the form below.