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Contraception

Contraception

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Pall Mall Medical offers a wide range of contraception services and family planning advice. We have male and female private GPs available and if you are unsure about which form of contraception would be best suited to you, one of our doctors can advise you on your options.

 

What methods of contraception do you offer?

  • Oral Contraception
  • Emergency contraception – ‘morning after pill’
  • Emergency contraception – IUCD (coil)
  • Contraceptive Injection – Depo-Provera
  • IUCD - coil fitting and removal
  • Contraceptive implant – Nexplanon – fitting and removal

 

Oral contraception

We provide oral contraception (also known as ‘the pill’) at our clinics. There are a number of options available dependent upon your health and time since sexual intercourse, so you will receive a full consultation from one of our GPs before being prescribed the right oral contraception for you.

 

Emergency contraception pill

The emergency contraception pill Levonelle 1500 can be taken up to 72 hours after having unprotected sex. Emergency contraception (also known as ‘the morning after pill’) works by delaying ovulation so the female egg is released later and therefore is much less likely to be fertilised by the sperm. As well as being prescribed after a couple has unprotected sex, Levonelle 1500 can also be taken if your regular method of contraception has failed. Although Levonelle 1500 can be taken up to 72 hours after having sex, it is most effective when taken within 12 hours after sex.

 

Emergency contraception IUDC

Although the morning after pill is very effective, it can only be used up to 3 days after having sex and in some cases, you may not be able to speak to a health professional about emergency contraception within this short space of time. An IUDC (also known as the coil) can be used as emergency contraception up to 5 days after having sex. The coil can also act as a preventative method of contraception as well as an emergency contraception and can provide protection for 10 years after it’s fitted.

We also offer the Mirena IUDC option, which releases the hormone levonorgestrel which thickens the cervical mucus to prevent sperm from reaching the egg. Mirena IUDC can last for five years after it’s fitted.

 

We can also offer coil removal with a GP or a consultant. Depending upon the position of your existing coil, an ultrasound scan may be required to locate it before it’s removed.

 

Contraceptive injection

Contraception is also available as an injection. The Depo-Provera injection contains the hormone medroxyprogesterone, which has a similar effect to the hormone progesterone. The Depo-Provera injection works by slowly releasing medroxyprogesterone into the body to prevent ovulation from occurring. For the injection to be effective, it must be administered by a health professional every 12 weeks.

 

Contraceptive implant

Nexplanon or the ‘implant’, as it’s most commonly known, is a flexible tube around 4 cm long which is inserted into the upper arm, just under the skin. Nexplanon works by releasing etonogestrel, a hormone similar to progesterone which prevents an egg from being released each month. The contraception also thickens the cervical mucus, making it difficult for sperm to enter the womb. Nexplanon can provide effective contraception for a maximum of three years but can be taken out sooner than that. The implant should be inserted between day 1 and day 5 of the menstrual cycle and can be inserted at the same appointment as your consultation, as we keep the implants in stock.

 

Call the experts at Pall Mall Medical today to make an appointment to speak to one of our GPs, in confidence, about the right contraception for you.

 

Private contraception prices

Service

Price

"Morning After Pill" - Levonelle

£15 *

Coil Removal with Gynaecologist £225

IUCD Coil (T-Safe Copper Coil) insertion with Gynaecologist

£295

IUCD Coil (Hormonal / Mirena) insertion with Gynaecologist

£395

Depo-Provera Injection with a GP

£87

Contraceptive Implant Insertion with Gynaecologist £450
Contraceptive Implant Removal with Gynaecologist £370

Contraceptive Implant - Nexplanon

£350

 

* Excludes appointment - from £70

Frequently asked questions about contraceptions

Is it normal to bleed after a coil removal?

You might notice slight bleeding after removal of coil, but this settles shortly without any treatment at all.

Are there any aftercare procedures I should follow?

After fitting, your body will try to expel the coil, so you must have a follow up check at 6-8 weeks after insertion to make sure that it is in right place. Then you should check the coil thread at the top of the vagina digitally after every 2-3 periods. The details will be fully explained at the time of fitting a coil.

You may wish to use condom as well to prevent sexually shared infection. The coil will prevent pregnancy only.

Will my periods return to normal afterwards?

It is very normal for your periods to change after you have the coil removed. Usually the cycle goes back to how your original cycles were before coil was fitted.

What are the after effects once I get my coil removed?

Unless there is an infection, any effects of the coil will be reversed after removal.

Can I get pregnant after my coil is removed?

Yes, your natural fertility should return to normal. Coil is completely reversible and does not affect your future fertility at all.

Can a coil removal cause a miscarriage?

Coil is one of the best forms of contraception, but no method is 100% effective. Occasionally, women do get pregnant with coil inside, but the coil itself does not cause miscarriage. If someone does get a positive pregnancy test with coil inside, they must see a doctor as soon as possible to rule out possibility of having a pregnancy inside the tubes (ectopic pregnancy).

I’ve been through the menopause, can I still get fitted?

You can’t get a coil fitted if you’re pregnant, so having one fitted after the menopause is fine. But your doctor need to discuss with you about all the options and to check why you wish to have a coil.

Do I need an anaesthetic for a coil fit?

Most women do not need any form of anaesthetic at all. If you prefer, doctor can use anaesthetic gel into the neck of the womb, but this is best suited for women who have never been pregnant.

I’m still bleeding after my coil fit, what could this be?

Some bleeding can be a completely normal side effect while your body accepts this foreign material inside you. A doctor can easily manage heavy bleeding with medicine without taking the coil out. After a few weeks, the periods usually return to your normal pattern.

What are the side effects of having an IUD fitted?

The immediate side effects of the fitting will be minor like some pain, discomfort and dizziness lasting for few seconds to couple of minutes. You may have some cramps for couple of hours due to womb trying to expel the coil. There are small risks of injury to the womb (perforation) or inability to fit a coil, however these are incredibly rare. Periods can also be slightly heavier with clots initially after having a copper based coil.

Can I get fitted for a coil after my pregnancy has ended?

Yes, you can have a coil fitted straight after miscarriage or the termination of a pregnancy. But after a natural delivery, you should better wait until 6-8 weeks before having a coil fitted to ensure that your womb has returned to its normal size.

Does the fitting hurt?

Mostly women feel mild pain or some discomfort. If you experience painful periods, there is a chance that the fitting will be painful due to the narrow neck of the womb. However, the fitting of the coil is usually well tolerated by the body. That’s why the IUD is one of the safest and oldest modern contraception methods.

Can I get an infection from a coil fit?

It is very unlikely, there is a negligible risk of an infection from a coil fitting.

Will the coil fit stop my periods?

If you opt for a copper based coil like TSafe which does not contain any hormones, then changes to periods are to be expected. Sometimes they will be lighter or heavier, but this should return to normal after the first year of having the coil. If you decide for a coil containing hormones like Mirena, your periods are more likely to be much lighter, or may even stop completely.