The Varis Medical Practice

Forres Health & Care Centre, Grantown Road, Forres, Moray, IV36 1JG

Advice to patients before booking fitting of a IUD/IUS

ADVICE TO PATIENTS BEFORE THE FITTING OF AN IUD/IUS

PLEASE NOTE – YOU MUST TELL THE RECEPTION STAFF THAT YOU ARE BOOKING A COIL FITTING, SO THAT THE CORRECT APPOINTMENT IS GIVEN.

When to book your fitting:

When having an IUD or IUS insertion, it is important to ensure that you are not pregnant.  If you are using Condoms, a Diaphragm, “natural methods” including Persona, or having Unprotected Sex, between the first day of your last period and the day of your fitting, you MUST abstain altogether from sexual intercourse.  These methods should not be used, no matter how careful you are.

This advice is necessary because we need to be certain that at the time the IUD or IUS is fitted, you are not in the very early stages of pregnancy nor are there any sperm in your body, which could result in a pregnancy.

If you are using a hormonal method (the Combined Contraceptive Pill, Progesterone-Only-Pill, injection method or implant), the IUD or IUS can be fitted at any convenient time, as long as you are not bleeding too heavily.

If you are having an IUD or IUS removed and a new one fitted, this can be done on any day except a day of heavy bleeding.  You should not have sexual intercourse for the seven days before the fitting (if using for contraceptive purposes).  This is to ensure that there is no sperm in your body that could result in a pregnancy, if it is not possible to fit a new device after the original one is removed.

The reception staff can book your appointment but cannot give contraceptive advice.  If you are not sure about when to book your appointment, or which contraceptive method to choose, please make an appointment to come and discuss this with a GP.

If you are having an IUS (Mirena) inserted, you will need a prescription beforehand.  You need to take this to the pharmacy, who will give you the IUS, and you will need to bring it with you to the appointment.  You do not need a prescription for any other type of IUD.

ADVICE BEFORE/AFTER THE FITTING OF AN IUD or IUS

Do not skip a meal – it is best to have eaten prior to the fitting

Please write down and bring the start date of your last period to the fitting

It is sensible to take a “pain-killer” at least half an hour before the fitting, to reduce cramps afterwards eg.  Ibuprofen (nurofen) 400mg.

Please allow at least an hour for the appointment.  Although the procedure does not take this long, a few women feel faint afterwards and need time to recover.  It is recommended that you have someone you can contact by phone, who would be able to collect you, in case you feel unwell.

Do not bring small children or babies with you to the fitting, or alternatively please bring a friend with you who could take care of them outside the room.

Some sanitary protection may be required afterwards.  You may wish to bring your own sanitary towel or panty liner with you.  Tampons should not be used for the first three days after the fitting.

You should abstain from sexual intercourse for three days after the fitting (if used for contraceptive purposes).  If the IUD or IUS has been fitted after day 7 of your cycle, you should use another contraceptive method as well for the next seven days.