Concierge gynaecology · London
Coil (IUD / IUS) insertion and removal, by a clinician with LARC training.
Copper and hormonal coils fitted properly — with time to talk through which device fits which need, and a local block for those who want one.
Why patients choose us
- 01
A consultant or GP with LARC training
Coils are fitted by a consultant gynaecologist or a GP with an FSRH Letter of Competence — not by whoever is on rota.
- 02
Copper and hormonal on the table
We talk you through copper IUD, Mirena, Kyleena, Levosert and Jaydess before you commit — not just the one the clinic happens to stock.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private coil fitting costs in London.
Indicative ranges across our partner clinics — device included. Send the details and we quote firm figures across two or three options.
In short
A Mirena fitted in our network: £450–£850, home the same hour.
| Procedure | Indicative range | Typical duration | Recovery |
|---|---|---|---|
| Copper IUD fitting (device included) | £350–£650 | 20–30 min | Same visit |
| Mirena / Levosert IUS fitting (device incl.) | £450–£850 | 20–30 min | Same visit |
| Kyleena / Jaydess IUS fitting (device incl.) | £450–£850 | 20–30 min | Same visit |
| Coil removal | £150–£300 | 10–15 min | Same visit |
| Removal and replacement (same visit) | £450–£900 | 30 min | Same visit |
| Emergency contraception copper IUD | £400–£700 | 30 min | Same visit |
| Consultation only | £150–£300 | 20 min | Same visit |
Prices vary by clinic, by which clinician fits the coil, by device chosen, and by whether a local anaesthetic block is added. We come back with a firm quote within one working day.
The problem
The right device, the right clinician, the right amount of time.
Coil fittings get rushed in an overloaded NHS clinic, or pushed at whichever device the private clinic stocks. We fix both before you commit.
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Not sure which device?
Copper for hormone-free, hormonal for lighter periods, Mirena also for HRT protection. We walk you through it.
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Worried about the pain?
Simple painkillers before, a local block if you would like one, and a clinician who takes their time.
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Want it done properly?
A named clinician with an FSRH Letter of Competence, ultrasound to hand if needed, and a threads check booked.
The journey
From enquiry to threads check — what happens, in order.
One clinician from first message to review — including the threads check at three to six weeks.
Phase 1 · Before your fitting
Concierge, off-stage for you
Phase 2 · On the day
About an hour at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what you are after
A short, confidential form. Contraception only, help with heavy bleeding, endometrial protection on HRT, or emergency contraception.
- 02
Before
We come back with a recommendation
Within one working day: which device fits, whether a chlamydia swab is needed first (routinely under 25), and an indicative price.
- 03
Before
We arrange the appointment
Usually within one to two weeks. Best timed around the end of a period, or immediately post-abortion or post-delivery where appropriate.
- 04
On the day
Arrival at the clinic
A short chat, consent, and the option of a local anaesthetic cervical block if you would like one. Simple painkillers an hour beforehand help.
- 05
On the day
The fitting itself
Five to ten minutes on the couch. Speculum, cervix cleaned, uterus measured with a sound, device inserted, threads trimmed.
- 06
On the day
Home the same hour
A short rest, then home. Cramping like a period is normal for a day or two. No driver needed unless sedation was used.
- 07
After
Threads check and review
A threads check at three to six weeks. Copper coil works immediately; hormonal IUS works immediately if fitted in the first seven days of a cycle, otherwise cover for seven days.
Typical end-to-end: 1–2 weeks from enquiry to fitting. Threads check: 3–6 weeks after.
When it helps
What a coil actually treats.
Contraception, heavy periods, endometrial protection on HRT, and emergency cover — plus the one red flag that means an emergency rather than an appointment.
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Long-acting contraception
A fit-and-forget option for three to ten years, with a failure rate under 1 in 100 — as good as sterilisation, and reversible.
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Heavy menstrual bleeding
Mirena and Levosert are licensed to reduce heavy periods, and often stop them altogether within six to twelve months.
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Endometrial protection on HRT
A Mirena provides the progestogen half of hormone replacement therapy for the womb lining, avoiding oral progestogens.
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Emergency contraception
A copper IUD is the most effective emergency contraception — fitted up to 120 hours after unprotected sex, and stays as ongoing contraception.
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After childbirth or abortion
A coil can be fitted immediately post-delivery, at caesarean, or at the same visit as a surgical or medical abortion.
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Hormone-free preference
The copper IUD gives ten years of contraception with no hormones at all — a good fit if hormonal methods have not agreed with you.
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Removal or replacement
Removal is quicker and less uncomfortable than fitting. Replacement can happen at the same visit if you would like continued cover.
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Red flag: pelvic pain after fitting
New severe pelvic pain, fever, foul discharge or a positive pregnancy test with a coil in situ is not normal — same-day A&E or gynaecology.
Device options
Copper, Mirena, Kyleena, Levosert, Jaydess.
What each device on the table actually involves — and which fits which need.
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Copper IUD (T-Safe / TT380)
Non-hormonal. Licensed for five to ten years depending on the device. Periods can be a little heavier or crampier. Works immediately.
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Mirena IUS
Levonorgestrel 52 mg. Licensed for eight years of contraception, five years for HRT endometrial protection, and treatment of heavy menstrual bleeding.
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Levosert IUS
Levonorgestrel 52 mg — similar to Mirena. Licensed for eight years of contraception and for heavy menstrual bleeding.
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Kyleena IUS
Levonorgestrel 19.5 mg on a smaller frame. Licensed for five years. Often a good fit for those who have not been pregnant.
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Jaydess IUS
Levonorgestrel 13.5 mg on the smallest frame. Licensed for three years. Least effect on bleeding pattern of the hormonal options.
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Copper coil for emergency use
Fitted up to 120 hours after unprotected sex, or up to five days after the earliest possible ovulation. Also gives ongoing contraception.
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Removal
A gentle pull on the threads with sponge forceps. Ten to fifteen minutes. Fertility returns immediately — plan cover if you do not want to conceive.
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Consultation only
An honest discussion of which device fits which need — contraception, heavy bleeding, HRT protection — with no obligation to book.
Our vetted London network
A small panel of coil fitters, we picked them.
Consultant gynaecologists and GPs with LARC training across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand what you are after.
Selection criteria
How we choose every coil fitter in our network.
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Consultant gynaecologists or GPs with an FSRH Letter of Competence in intrauterine techniques
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Local anaesthetic cervical block available for those who want it
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Copper and hormonal devices held in stock, so the device fits the patient, not the shelf
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Ultrasound available on site for missing-threads or difficult fittings
Safety and red flags
What to expect afterwards — honestly.
Coil fitting is a common, safe outpatient procedure. The things worth knowing are the small risks of expulsion and perforation, the transient infection window, and what to do about missing threads or unexpected pain.
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Uncomfortable, not agonising
Cramping like a strong period is normal during fitting and for a day or two afterwards. Ibuprofen an hour before helps a lot.
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Expulsion — about 1 in 20 in year one
The device can slip out, most often in the first few months. A threads check at three to six weeks catches most cases.
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Perforation — 1 to 2 in 1,000
The device can pass through the wall of the uterus at fitting — rare, usually painless, and treated by keyhole retrieval.
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Infection risk is short-lived
Any infection risk is confined to the first three weeks after fitting. A pre-fit chlamydia swab is routine under 25.
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Bleeding pattern changes
Copper coils can make periods heavier. Hormonal IUS usually makes them lighter or absent, after three to six months of irregular spotting.
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Ectopic pregnancy — rare but important
Pregnancy on a coil is very rare, but when it happens it is more likely to be ectopic. A positive test with a coil in situ needs same-day review.
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Threads settle where they settle
Threads should be checkable after a month. If you cannot feel them, do not panic — book a review, use condoms until seen.
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Actinomyces on a smear
An incidental actinomyces finding on a cervical smear with no symptoms rarely needs the coil out — a specialist review is enough.
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Red flags
Fever, severe pelvic pain, foul discharge, a positive pregnancy test or an allergic reaction after fitting are reasons to seek same-day care.
Reading your fitting note
Your fitting note in four parts. Read the last one first.
Whichever device was fitted, the note the clinician sends you keeps to the same shape.
A quiet reminder
Clinic language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your threads check, just ask.
- 01 Header
Indication and device chosen
Why the coil was fitted — contraception, heavy bleeding, HRT, emergency — and which device was placed, with its expiry date.
- 02 Technique
Fitting technique and measurements
Uterine sound depth in centimetres, ease of passage, whether a local block was used, and how long the threads were left.
- 03 Findings
Cervix, uterus, and anything noted
Notes on the cervix and uterus, any tenderness, and incidental findings such as an unusual smear result flagged for follow-up.
- 04 Impression
When it works from, and when to check
Read this first: when contraception is effective from, when to check threads, and when a follow-up is planned.
Recognised by major UK insurers
Cover for coil fittings varies by insurer and by indication — usually funded for heavy menstrual bleeding or endometrial protection, self-pay for contraception alone. We confirm cover before booking.
Frequently asked
Everything we get asked about coils.
Quick answers on pain, cost, which device to pick, and when a coil is or is not the right call.
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How much does getting a coil fitted actually hurt?
Honestly, it’s uncomfortable rather than agonising for most people — strong period-style cramping for a few minutes during fitting, easing quickly afterwards. Take ibuprofen an hour beforehand, and every reputable London clinic now offers a local anaesthetic cervical block or Entonox on request, so don’t settle for a fitting without pain relief options being discussed.
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How long does each coil last?
Copper IUDs last five to ten years depending on the device. Mirena and Levosert are licensed for eight years of contraception, Kyleena for five, and Jaydess for three. Mirena covers five years of endometrial protection with HRT.
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Copper coil or hormonal IUS — which is right for me?
Copper is hormone-free but can make periods heavier. Hormonal IUS usually makes periods lighter or absent and is the choice if bleeding is heavy. Mirena is also used for endometrial protection on HRT. We help you weigh it up.
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When does a coil start working?
A copper IUD works immediately. A hormonal IUS works immediately if fitted in the first seven days of your period; otherwise use extra cover, such as condoms, for seven days.
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Can I use a coil as emergency contraception?
Yes — a copper IUD is the most effective emergency contraception, fitted up to 120 hours after unprotected sex or up to five days after the earliest possible ovulation. It then stays as ongoing contraception.
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What if I cannot feel the threads?
Do not panic — book a review and use condoms in the meantime. Sometimes the threads have simply curled up into the cervix. If the device cannot be seen on ultrasound, a plain abdominal X-ray excludes perforation.
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When should I not have a coil?
Active pelvic infection, unexplained abnormal uterine bleeding, current cervical or endometrial cancer, or a distorted uterine cavity are reasons to avoid fitting. Copper is avoided in Wilson’s disease; hormonal IUS is avoided in current breast cancer.
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How much does a private coil fitting cost in London?
Roughly £350–£650 for a copper IUD, £450–£850 for a hormonal IUS — device included. Removal is £150–£300 and removal-plus-replacement is £450–£900 at the same visit. We confirm a firm figure within one working day.
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When can I have sex after fitting?
There is no strict rule, but many people prefer to wait 24 to 48 hours until any cramping settles. If a hormonal IUS was fitted outside the first seven days of your cycle, use condoms for seven days.
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When should I see a GP or A&E urgently?
Severe or worsening pelvic pain, fever, foul discharge, a positive pregnancy test with a coil in situ, or heavy prolonged bleeding after fitting are all reasons to seek same-day medical help.
Related tests
Looking for something else?
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Cervical smear
Cytology and colposcopy triage, at consultant standard.
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HPV screening
Primary HPV screen for cervical cancer risk.
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STD screening profiles
Discreet, comprehensive private screening panels.
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All tests and procedures
Every test and procedure we arrange.
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Hypertension
Related condition guide.
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Type 2 Diabetes
Related condition guide.
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Blood Tests
Related diagnostic test.
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Health Assessments Select
Related diagnostic test.
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In practice, in London
Booking coil IUD ius insertion and removal privately in London — what actually happens
For coil IUD IUS insertion and removal, the private London route is mostly about consultant fit and hospital choice rather than raw waiting time. On the NHS, coil IUD ius insertion and removal typically sits behind a triage step and a wait that can stretch from a few weeks into months. In London’s private sector, the same appointment often lands within days. That speed matters when symptoms are disrupting work, sleep, or a plan you’d already committed to — and it’s the single most common reason people call us in the first place.
The mechanics are straightforward: a consultant appointment, any tests done at a nearby CQC-registered site, and a written report back within a few days. London’s density of private diagnostics — Marylebone, the City, Chelsea, Canary Wharf — means most patients can find something that fits around work without a cross-town trek. For coil IUD IUS insertion and removal in particular, we bias towards consultants who do this every week rather than every month.
The value of going through a concierge for coil IUD ius insertion and removal isn’t access — anyone with an insurer or a credit card can get a private appointment in London. The value is knowing which consultant reads this particular presentation best, which unit turns reports around fastest, and which pathway won’t hit a dead end if the findings point somewhere unexpected.
Nearby in the library