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Coil Removal (with Pain Relief)

Local anaesthetic

Cervical block, gel, gas & air and spray. Learn more.

Length of appointment

Approx. 15-30 minutes in total

Recovery

Continue as normal. Learn more.

Locations

Journey Overview

A routine coil removal is a quick and straightforward procedure that rarely poses complications. The consultation and procedure happen in one appointment, as long as it's safe to do so.

#1 Pre-Appointment Questionnaire

To ensure enough time to discuss any questions or concerns, we ask you to fill out a simple questionnaire before your appointment.

#2 Consultation

During the consultation, we will address any concerns and discuss your pain relief options, as well as your contraceptive plans moving forward.

#3 Optional HPV/STI Testing

If you would like an HPV or STI test before the procedure, please let us know when booking. These tests can be conducted at the same appointment to ensure a seamless process.

#4 Administer Pain Relief

We offer several options for pain relief during the procedure, including local anaesthetic gel, gas & air, or a cervical block, to ensure your comfort throughout.

#5 Procedure

Once you’re comfortable, a speculum will be inserted to locate the coil threads. If the threads are visible, the coil will be gently removed with forceps.
In the rare case that the threads aren’t visible, an ultrasound-guided removal may be required (covered separately). You are welcome to see the coil once removed.

#6 Aftercare Discussion

After the procedure, we’ll make sure you’re feeling well and discuss any next steps, including contraceptive options.

For detailed aftercare instructions, please refer to our aftercare page here.

Eligibility

Best For

Coil expired or causing issues.

Pregnancy Restrictions

Safe during pregnancy; remove early.

Menstrual Restrictions

Safe to remove during bleeding.

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Consult Your Clinician If...

Strings cannot be located.

FAQs

Can I have a coil removal if I am on my period?

If you are on your period, you can still safely have a coil removal (as long as you are comfortable).

Can I have a coil removal if I am pregnant?

Yes. It is safe to have a coil removal if you are pregnant. Ideally, we would recommend having it removed as soon as you find out.

What are the possible complications of having a coil removal?

If the clinician is unable to locate the strings of the coil, they will need to refer you for an ultrasound guided coil removal.

When should I book my coil removal?

A coil can be removed at any time for multiple reasons.They may include, but are not limited to:

  • Your coil has expired
  • You’re experiencing side effects
  • You want to try another method of contraception
  • You no longer need a method of contraception
  • You want to get pregnant

How can I prepare for my appointment?

We recommend abstaining from sexual contact 7 days prior to you coil removal if you are not looking to conceive. Otherwise there is no need for any additional precautions or abstinence.

Will I need to take time off for my coil removal?

Most patients do not need any time off work after the procedure. However, it is advised to rest immediately afterwards, avoid strenuous activity and avoid menstrual cups for up to 6 weeks after the procedure.

Can I bring someone with me?

Yes. You can bring your partner, friend or family member to your appointment.

However, if you feel that you would rather not bring someone to the appointment, rest assured that our staff are here to support you and make you comfortable in any way possible. Clarewell Clinics is a safe space.

What travel arrangements should I make for after the appointment?

You do not need to make any special arrangements for after your procedure. However, if you would feel more comfortable, you may request a family member/friend/partner to accompany you on the way home.

Does the coil removal hurt?

After you have arrived for your appointment, we will invite you in for the initial consultation.

Once we have reviewed your lesions, we will proceed to prepare you for the procedure (as long as you have booked in for same day treatment). This will involve going through the consent form, taking any pre-procedure pictures and applying the numbing cream in privacy.

After letting the numbing cream settle for approx. 15-20 minutes, we will check to make sure the area is numb and then continue to burn the lesions.

After the procedure, we will offer you aftercare advice and give you an aftercare pack with some items to help with the recovery.

Will the procedure hurt?

No. Almost all of our patients find treatment of PPP with hyfrecation painless. Your clinician will confirm the total numbness of skin before undertaking the procedure.

Can I listen to my music during the coil removal?

Yes, absolutely you can. Please let us know at the time of your booking (or upon your arrival) so that we are ready to accommodate your wishes.

Can I have another form of contraception after my coil removal?

Yes. We can offer you an implant fitting, copper coil fitting or a hormonal coil fitting in your appointment.

If you are seeking pills or patches, we will offer you a private prescription which you can take to your local pharmacist.

Can I have an STI test during my appointment?

Absolutely. Please request this at the time of booking so that we may book you an extended appointment.

For more information about our STI tests, please visit this page: https://www.clarewellclinics.co.uk/sexual-health-clinic/.

Can I see my coil after the coil removal?

Yes! Just let your clinician know and they will show it to you.

What happens if my coil removal does not go as planned?

Although every effort will be given to remove the coil, it may not always be possible and you may require an appointment with one of our consultants for an ultrasound guided coil removal. If this is the case, the clinician will advise you and our patient support team can book you in.

Do I need to bring feminine hygiene products for use after the coil removal?

No. We will provide you with a pad after the procedure.

What should I expect after my appointment?

You may experience period-like pains and it is not uncommon to bleed for a couple of days afterwards. Painkillers such as paracetamol and a hot water bottle usually help to alleviate this.

If you are particularly prone to faint after a medical procedure/in a clinical setting, please let us know when booking your appointment.

Rarely patients can develop an infection after having their coil removed. If you are experiencing unusual pain, strong smelling discharge, have a fever or are experiencing any other symptoms indicative of an infection, please seek medical advice or visit your local GUM clinic.

What do I do if I think I have a problem after the appointment?

We recommend all patients have a thorough read of the information above as it will help with key questions.

If you think that something is wrong, please request a follow up call by contacting our clinic.

How soon after my coil removal can I have sex?

As long as you are comfortable, you can have sex immediately after your coil removal.

How soon after my coil removal will I become fertile?

Your fertility will return as soon as your coil is removed. Hence, it is essential to have another method of contraception in place if you are not planning to convenience.

Will I require a follow up appointment after my coil removal?

A follow up appointment is not usually required. If you have any questions after your procedure, you can contact our receptionists and they will arrange a follow up call for you.

In the event that you would like a follow up appointment, we can book one in for you (please note that we do charge for a follow up appointment).

Patient Feedback

Posted on Google Google
C
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I've been trying to get my coil replaced since May on the NHS, but they couldn't do it as my threads have been cut too short. Waiting lists for NHS gynae appointment are insane (~1 year) so after some deliberating I decided to go private. I chose Clarewell Clinics as they had great reviews and also compared to other clinics, were a lot more reasonably priced. I booked an ultrasound guided coil removal in hopes that Dr. Elena would be able to do it without needing to go down a more invasive route. Thankfully, she did it with ease and also replaced it with a Mirena coil (on the NHS they had told me my uterus was too small so had to go with Kyleena). It was such a more pleasant experience than when I did it on the NHS. Dr. Elena and Yemi kept me comfortable and eased my anxiety the whole way through the process. The pain relief options were also better- air and gas was a lifesaver! I could still feel the pain but it was milder and so much more bareable than the insertion I had 5 years ago. It was over quickly and I was sent away with a heat pack to ease the cramping afterwards. Thank you so much Dr Elena, Yemi and also Ryaan for being a friendly face in the reception. I would thoroughly recommend Clarewell Clinics :)
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K S
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I had a mirena replacement with Elena, supported by Ryan. I have previously had bad experiences, but the approach here and the pain management meant if I had to come back next week for another one, I’d do it. I arrived feeling sick and shaking but Ryan put me at ease, Elena did a fantastic and quick job and the gas and air made a huge difference, I barely felt anything. The whole team were friendly and welcoming and I wouldn’t hesitate to recommend them. I had an injection and she didn’t wait for pain to come to manage it, it was managed upfront. I’m so incredibly grateful, thank you. Ryan and Elena are a fantastic team
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P R
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Mr Aaron Williams saw us while we were visiting London from the US and he treated us well, with compassion and professionalism. Seeing him helped put us at ease for the rest of our trip, which ended up being great.
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E R
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Incredible care and treatment. Can't thank Dr Jayadeva and his team enough who put me at great ease and looked after me. Wonderful clinic will be recommending.
Posted on Google Google
A L
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I had a copper coil removal yesterday with Dr Praveen Jayadeva. If you are at all nervous about an iud fitting or removal, I couldn't recommend this clinic enough. I had a very painful experience at a different clinic that made me really scared about the removal procedure. They really take the time to talk you through what's going to happen and what type of pain relief options you have. They were so friendly and comforting (both the doctor and the amazing assistant) and procedure was so quick. They even offer you tea and biscuits afterwards. Really fantastic and professional clinic!
Posted on Google Google
B G
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I had a coil done here. It was an amazing experience, really worth the money paid. The doctor took the time to go through the process and all the options in detail. I felt prepared and well cared for. I had numbing gel and spray and also gas and air. The actual coil fitting was less then 5 minutes. I felt a little discomfort, but the gas and air managed this very well. The team were all very supportive and caring. My coil lasts for 5 years, I'm very happy with my experience. Could not recommend enough.
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D
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Dr. Malu was able to help me fully understand and put into context my concerns surrounding HPV, which at times can feel like a confusing subject. His ability to listen and understand my concerns with empathy and without judgement was very helpful. I am grateful for the expertise and care given by Dr. Malu and the staff at his clinic. The team provides a very professional and comfortable experience.
Posted on Google Google
A R
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Fantastic and caring team from booking process, reception, appointment and billing. Went for a coil removal. They had ultrasound and gas for pain management (when I checked it seemed they were the only clinic that offered this!!). 100% recommend. Especially if you’re getting a coil, want to make sure you do it with a top professional team. I inserted it elsewhere and it was a barbaric procedure for me, insanely painful and just awful. So save yourself unnecessary trauma/pain
Posted on Google Google
A
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I had such a great experience at Clarewell Clinic. I was extremely nervous about the pain before my copper IUD fitting, but Dr Praveen Jayadeva explained everything clearly throughout the appointment and made me feel completely comfortable. I was given pain relief and the fitting was honestly so much easier than I expected — I barely felt any pain at all. Yasmin was also incredibly lovely and reassuring throughout. I’m genuinely so happy I chose Clarewell and would definitely recommend them. 10/10.

Fees

Short Term Methods

Combined Pill - £30/3 Months Supply

Contraceptive Injection - £100/Injection

EVRA Patches - £110/12 Months Supply

Progesterone Only Pill - £30/3 Months Supply

Local Anaesthetic

Included in the procedure

Consultation

Same Appointment as Procedure: Included in the procedure fee

Separate Appointment as Procedure (Specialist Nurse): £75

Separate Appointment as Procedure (Specialist Doc): £150

Payment Options

  • Self Pay - By Cash/Card), but not American Express
  • Health insurance
  • Klarna – a payment plan to split the cost over 4 payments.

Next Steps

Care - In Clinic

Care - Online

Page last reviewed by Dr Manoj Malu on 1 April 2022 for general guidance only. It is not intended to replace the advice of your clinician.