Having a coil removed is a usually a quick procedure done by a doctor or nurse causing only minor discomfort or brief cramping.

The clinician will insert a speculum to locate your cervix and then pull on the threads to remove the coil. Women who have lost threads (the coil threads are not visible outside the cervix when a speculum is inserted) will need to be referred to a hospital clinic for removal of the coil under ultrasound guidance. Please book an appointment for a coil removal and we can examine you and confirm this this the case and refer you if needed.

Please bring a sanitary towel as it is not uncommon to bleed for a day or two after the procedure.

If you do not want to become pregnant, avoid sex completely or use condoms for 7 days before your coil removal appointment.

If you wish to become pregnant or no longer need contraception, then a coil can be removed at any time of your cycle without avoiding sex.

If you are starting new contraception such as pills then this should be at least 7 days before removal so that your contraceptive cover is not lost.

If you are planning a pregnancy, please ask your GP for pre-conception advice and start taking folic acid and Vitamin D before the coil is removed. Vitamins, minerals and supplements in pregnancy - NHS

If you have a BMI greater than 30 and are planning a pregnancy, you will need high dose folic acid prescribed by your GP. Please ask our receptionist to use the machine in the waiting room to weigh yourself if you are not sure of your BMI.

If you are taking regular medication please book a GP appointment to discuss whether this is safe in pregnancy.

If you are taking HRT and using the hormonal IUD to provide progesterone cover. Please book a GP appointment to discuss starting an alternative progesterone.