Coil Consent


Intrauterine devices (IUDs), also known as coils are small T shaped devices that are fitted to sit inside the uterus (womb). They are 99% effective at preventing pregnancy and completely reversible when removed. There are two types of coils; a hormonal coil containing progesterone and a non-hormonal copper coil.

If you would like a coil fitted/changed then please: 

Watch this short film

Read the copper IUD leaflet

Read this IUS leaflet

Read the FAQ

Read the how to prepare page

  • You can have a coil fitted or changed at your appointment. If you are looking for a removal, please contact your GP practice.
  • For coil fittings-do not have unprotected sex after your last period until your coil is fitted. This means using condoms consistently and correctly, or using another form of reliable hormonal contraception such as the combined pill, patch or ring, progestogen-only pill, injection or implant.
  • If you are not having regular periods you should use effective contraception or avoid sex for at least 3 weeks before having your coil fitted.
  • If you are having your in date coil changed, do not have unprotected intercourse for at least 7 days.
  • Please check when your current device expires (your GP practice can help with this) and if the expiration date has passed, used alternative contraception or abstain from intercourse.
  • We may not be able to fit your IUS if we think you are at risk of pregnancy. See the next section for more information.

Please complete your details below

This is a 10 number reference that is personal to you, the first 6 numbers of this are your date of birth, this can be obtained from your prescription, your NHS card or you GP practice can give you this.
Please use format day/month/year e.g. 12/05/1979
This is used to notify them of your procedure and update your medical records. Please provide name of GP and town/area of your practice.

Please ensure you answer all questions.

Which type of coil are you looking for?
Please make sure you select the correct type of coil, copper coil prevents pregnancy by using copper, while Hormonal coils prevents pregnancy by releasing a hormone called progestin.
What appointment are you looking for? *
Are you using the coil for;
Please Note: The licensed duration of use for Mirena has recently changed to 8 years for contraception. However, if you are using it as part of your HRT you still need to have it changed at 5 years. If you are using it for heavy bleeding you can keep it for 6 years, or longer if it is still helping your symptoms. This new advice only applies to Mirena. If you have a different 52mg hormonal IUD (Levosert) you should still have it changed at the recommended time.
Are your smears up to date?
Do you have any medical problems? *
Are you on any medications? *
Do you have any allergies?
Have you had any undiagnosed; irregular bleeding, heavy bleeding, bleeding after intercourse or post-menopausal bleeding? –If so please discuss with your GP before submitting a form to ensure a coil is appropriate.
If your coil has expired, please use an alternative form of contraception or abstain from intercourse for at least 3 weeks prior to your appointment If your coil has expired and you are using it as part of an HRT regime, please discuss this with your GP as you may need referred for investigations/need an alternative form of progesterone.
Please give details here, if this does not apply please answer none.
Can you confirm that you have

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This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.