The Rubin Clinic is only able to provide coils for contraception. This form is not for women wanting an IUCD for the treatment of gynaecological problems, e.g. to reduce heavy menstrual bleeding or for perimenopausal symptoms as part of your hormone replacement therapy.
If you need a coil for this reason, please contact your GP to have your procedure or be referred to a gynaecologist as we will be unable to do this for you.
The duration of use for the Mirena, Benilexa and Levosert coils has been updated. They are now known to be effective for contraception for eight years if inserted before the age of 45.
This means these coils only need to be replaced if they were inserted eight years ago or more, if used for contraception. If used for HRT purposes, the guidance remains the same and they should be replaced after five years by your GP or by Gynaecology.
We use the BENILEXA 8 year hormonal coil. All three of the 8 year hormonal coils mentioned above are identical and approved or licensed for the same duration and the same uses. They are simply from different manufacturers.
We cannot guarantee to be able to provide you with a branded “Mirena”, so if you will not accept the Benilexa, please ask your GP for a prescription for a “Mirena” and bring the unopened box with you to your appointment for us to fit.
An IUD (copper coil) fitted at, or after, the age of 40 does not need replacing and will be effective for contraception until 1-2 years after your last ever period. This is usually around the age of 50-51 years.
A 52mg LNG-IUD (Mirena/Levosert/Benilexa – 8 year hormonal coil) fitted at or after the age of 45 will be effective for contraception without the need for an exchange until the age of 55. At 55, it can safely be removed without further risk of pregnancy
Kyleena and Jaydess hormonal coils still need to be replaced at five and three years from insertion, respectively.
For your safety, we ask children are not brought to your appointment.
If your child’s behaviour is distracting and prevents us from performing the procedure safely, your doctor/nurse may refuse to carry out your procedure. We are unlikely to have sufficient staff to mind your child during your appointment.
If bringing your child is unavoidable, please bring a pushchair or buggy into which they can be securely strapped, and ensure they are accompanied by an adult who will be able to care for them in the waiting area during the appointment.
Please let us know ahead of your appointment if your child will be attending with you.
If you need any type of coil removed, or inserted or exchanged for contraception, please complete the relevant form and follow the instructions:
Coil insertion
Coil exchange
Coil removal
Once you have returned the form, we will be in touch within 14 days to book your appointment. Please email mtw-tr.coilassessmentdoc@nhs.net if you don’t hear from us within 14 days of submitting your form.
If you can’t complete the form online, appointments are available by calling the clinic on 0300 373 0709. You may need a telephone assessment before being offered an appointment for your procedure.