Once you submit the form your name will be added to the appropriate waiting list, and you will be contacted when an appointment is available.
We currently carry out our initial coil assessments via telephone, to ensure suitability, before arranging a face-to-face appointment for fitting.
Further information contraception and your options is available here: Contraception – Sexwise
We ask so many questions to make sure we triage your contraceptive needs appropriately and provide you with the best possible care in the most efficient way we can…
Please provide emergency contact information below
Required Medical Information
If you are requesting assessment for an intrauterine coil (hormonal or copper), please answer the following questions
Heavy periods and Dysfunctional Bleeding
For your safety, we are unable to fit coils for the sole purpose of managing bleeding symptoms. Patients with the following symptoms should seek advice from their GP:
New onset/ heavy menstrual bleeding
Intermenstrual bleeding (bleeding between periods)
Postcoital bleeding (bleeding after sexual intercourse)
Further information on these symptoms, and why we would advise you to see your GP, is available here: wuth.nhs.uk
Coils that are to be inserted for the sole purpose of the progesterone element of hormone replacement therapy, or management of heavy bleeding associated with menopause, require a referral to gynaecology via your GP. We are unable to replace coils that were inserted when you were over the age of 45. Mirena coils are licenced for use in contraception until the age of 55, when they are inserted over the age of 45. They have a shorter licence for HRT treatment. Please speak to your GP if your coil has expired for HRT.
We currently require all our patients to perform sexually transmitted infection checks for coil fitting to reduce risk of infection from the procedure. We advise you to order the discreet and confidential free test kit from SH:24 Free Home STI STD Test | Sexual & Reproductive Health (sh24.org.uk). If this is done prior to your telephone appointment, we may be able to offer you an earlier face-to-face appointment.
Further information about contraception and your options is available here: Contraception – Sexwise