Coils and Implants Clinic – Long Acting Reversible Contraception
We are pleased to offer long-acting reversible contraception (LARC) at our practice, fitted by Dr Kaushal and Dr Watters – both female GPs at the practice, including:
- Contraceptive coils (intrauterine devices – IUD/IUS)
- Contraceptive implants
These methods are among the most effective forms of contraception available, lasting several years and requiring no daily action.
What Are These Methods?
Contraceptive Coil (IUD / IUS)
- A small T-shaped device placed in the womb (uterus)
- Two main types:
- Copper coil (IUD) – hormone-free
- Hormonal coil (IUS) – releases a small amount of hormone
The hormonal coil can also help with heavy or painful periods.
Contraceptive Implant
- A small flexible rod inserted under the skin of the upper arm
- Releases a hormone (progestogen) to prevent pregnancy
Effectiveness
- Implant: Over 99% effective (fewer than 1 in 2,000 women become pregnant)
- Hormonal coil (IUS): Around 2 in 1,000 women per year become pregnant
- Copper coil (IUD): Also over 99% effective
These methods are as effective as sterilisation but are fully reversible.
Indications (Who Might Benefit?)
These methods are suitable for many people, including those who:
- Want long-term contraception (3–10 years depending on type)
- Prefer a “fit and forget” method
- Cannot take oestrogen-containing contraception
- Have heavy or painful periods (hormonal coil)
- Want a reversible alternative to sterilisation
Contraindications (Who Should Not Use Them?)
You may not be suitable if you have:
For coils:
- Current pelvic infection or untreated STI
- Unexplained vaginal bleeding
- Certain uterine abnormalities
- Known or suspected pregnancy
For implant:
- Known or suspected pregnancy
- Some hormone-sensitive conditions (your clinician will assess)
A full assessment will be carried out before fitting.
The Procedure
Coil (IUD / IUS) Fitting
- Performed in clinic by a trained clinician
- A speculum is inserted (similar to a smear test)
- The device is passed through the cervix into the womb
- Takes 5–10 minutes
You may experience:
- Cramping during and shortly after the procedure
Implant Fitting
- Done under local anaesthetic
- Inserted just under the skin of the upper arm using a special applicator
- Takes a few minutes
Risks and Side Effects
Coil (IUD / IUS)
Common:
- Changes in bleeding patterns
- Heavier periods (copper coil)
- Lighter or absent periods (hormonal coil)
Less common but important:
- Infection (mainly in first few weeks)
- Expulsion (coil falling out)
- Uterine perforation (very rare)
- Small risk of ectopic pregnancy if pregnancy occurs
Implant
Common:
- Changes in bleeding (irregular, lighter, or no periods)
- Acne, breast tenderness, mood changes
Other:
- Bruising or soreness at insertion site
- Very rarely, difficulty removing the implant
After the Procedure
- You can usually return to normal activities the same day
- Some cramping or bruising is normal
- Follow-up may be advised to check positioning (for coils)
Patient Information Videos
Coil (IUD/IUS) Fitting
Implant Fitting
Interested?
If you would like to discuss or book an appointment, please contact the practice via our digital front door.
