How to Prepare for Getting the Coil Fitted in London?

Coils are among the most effective and durable contraception options available so far. These are also known as intrauterine devices (IUDs), offering long-term protection against unplanned pregnancies.

But, many people still have doubts regarding the fitting process and its benefits. This blog aims to solve them, with special clarifications on the dos and don’ts before the procedure. Read on!

What is a contraceptive coil?

Before learning about the preparations needed for contraceptive coil fitting, it is important to know what a coil is.

A contraceptive coil or IUD is a small device that looks like the letter, ‘T’. It requires to be placed deep into the uterus. The primary purpose of the coil is to block sperm action, thus helping prevent unplanned pregnancies. Coils are available in two main types – copper coils and hormonal coils.

A copper coil works by releasing copper ions into the uterus. Copper ions are poisonous to the sperms, subsequently killing them and not allowing fertilisation. On the other hand, a hormonal coil releases progestogen that thickens the cervical mucus, thus restricting sperm motility.

How effective contraceptive coils are?

Contraceptive coils offer a high level of protection against pregnancies, up to around 99%. Upon correct insertion, they can provide long-term protection against incoming sperms from unprotected intercourse. And the best part is that no routine maintenance is required for them.

When it comes to durability, contraceptive coils last for a potentially long period of time. Copper coils generally have a lifespan of eight years, while the hormonal coils provide effective results for up to five years.

Well, there’s more. Coils are not like permanent sterilisation methods; that is, their action can be reversed. If you wish to conceive, the coil can be taken off without your fertility being affected.

Coil fitting appointment: How to prepare yourself?

Here is a comprehensive list of must-dos for getting an intrauterine coil fitted.

In the month before your appointment

If you are completely new and never had a coil

• Refrain from sexual intercourse with your partner until the fitting appointment takes place. In case you do, use protection, such as, condoms (barrier method).
• If you are on contraceptive pills, continue to use them before your consultation date.

If you are currently having an IUD in place and need to change

• Use condoms while having sex, and if possible, avoid intercourse within 7 days before your appointment takes place.
  

If you are using an expired contraceptive method, such as, an implant or IUD after the suggested date of getting it changed

• Use condoms or avoid sexual contact until the IUD insertion has been completed. Having unprotected sex before 3 weeks of appointment may make you ineligible for IUD fitting.

On the day of your coil fitting appointment

• Appear to the clinic after having a full meal. Do not skip breakfast or lunch.
• Have a painkiller, such as, paracetamol or ibuprofen before the coil insertion process takes place (at least an hour before).
• Feel free to express your health concerns or mental worries regarding the coil fitting. Often, women who had previously been a victim of sexual abuse or trauma face discomfort while the coil is being fitted. Thus, it is crucial to inform the doctor timely – this will ensure a stress-free and respectful experience for both the patient and the healthcare provider.
• Engage yourself in some kind of activity that distracts the mind while the coil is being fitted. For example, listening to music, scrolling over the phone, etc.
• Cramps in the lower abdomen are very normal during the coil fitting process. Thus, we recommend you to come with someone who can help you return home.

Coil insertion process: A step-by-step guide

1. Initial consultation: Your reproductive goals will be thoroughly discussed by the healthcare provider. This helps him determine a suitable coil type for you. If you have any specific doubts or unresolved questions in your mind, feel free to clarify them.
2. A thorough health check: It includes a pelvic exam and some additional diagnostic methods that help determine your eligibility for coil fitting. In some cases, your past medical profile may be checked, too.
3. Coil insertion: The menstrual phase is typically preferred by doctors for successful insertion of the intrauterine coil. This is because the cervix naturally remains lubricated during that time, enabling a smooth fitting experience for you. However, the coil can be fitted at any stage of your monthly cycle.
4. Additional doubts pertaining to medications: It is necessary for the doctor to know what medicines you are currently taking. You will probably require to stop using them until the coil fitting procedure is complete. This is because certain medications may react with the coil, diminishing its efficiency.

Side effects of coil insertion: How to manage them?

Post-insertion of intrauterine coil, it is normal to experience certain side-effects, such as:

• Cramping: Mild to moderate pain in the lower abdomen region will stay for the initial days, after coil insertion. Taking pain relievers can help manage the symptoms better. Also, application of a heat pad may provide relief.
• Spotting: Also known as irregular bleeding, spotting happens particularly during the initial months, post-insertion of the coil. This symptom resolves normally when your body starts adjusting itself to the coil’s presence.
• Expulsion: Although rare, this can present some amount of risk. In this, the coil dislocates itself and comes out from the uterus. Contact your healthcare provider if you face an extreme persistent pain, along with heavy bleeding or notice the IUD is getting expelled out through the cervix.
• Infection: This is one of those rare complications of coil fitting and must be handled timely. Sometimes, bacteria may enter through the vagina and travel up to the upper reproductive tract. Get in quick touch with your doctor upon experiencing symptoms like fever, chills, and abnormal vaginal discharge.

For effective management of the above symptoms, take over-the-counter medicines and follow the doctor’s advice religiously. For reducing infection chances, refrain from sexual activity and using menstrual products like tampons and menstrual cups, etc. for the initial days.

Conclusion

Feel free to book an appointment at any of your local gynaecology clinics for professional guidance in coil fitting procedure.