Copper Coil Fitting
- Consultation included
- Device included
- Instillagel pain relief
117a Harley St, London. Est 1984.
Consultant-led IUD and IUS fitting at Medical Express Clinic. Consultation and fitting completed in a single appointment, with all devices kept in stock.
Whether you want a coil fitted for the first time, need the current device removed, or are due a replacement, you can do that here without a referral. Every procedure is carried out by Mr Hikmat Naoum, Consultant Gynaecologist, chaperoned and assisted by a member of the nursing team throughout. Coil clinics at Medical Express Clinic run on Thursdays and Fridays by appointment.
Copper coil fitting (T-Safe or T-Safe Mini) is £550. Hormonal coil fitting (Mirena or Kyleena) is £650. Each fitting price includes the consultation, the device and the procedure in one visit of about 20 to 30 minutes.
Coil removal is £400, including consultant review. Combined removal and fitting in one appointment is from £700: £700 if the new device is copper, £800 if it is hormonal.
T-Safe, T-Safe Mini, Mirena and Kyleena are kept in stock.
Choose by hormones, period effects and device size. Mr Naoum can explain how long the suitable device is licensed to remain in place at the appointment.
A coil is a small T-shaped device placed in the uterus. The copper coil (IUD) contains no hormones. Copper ions make it harder for sperm to reach an egg. The hormonal coil (IUS) releases progestogen locally in the uterus, which thins the lining and thickens cervical mucus.
Copper fitting is £550. Hormonal fitting, Mirena or Kyleena, is £650.
| Question | Copper coil (IUD) | Hormonal coil (IUS) |
|---|---|---|
| Contains hormones | No | Yes, progestogen acting mainly in the uterus |
| Effect on periods | May be heavier, especially in the first few cycles | Usually lighter; Mirena may stop periods |
| Emergency contraception | Yes, copper only, within the FSRH window | No |
| Devices in stock | T-Safe and T-Safe Mini | Mirena and Kyleena |
| Price | £550 | £650 |
If you want to avoid hormones and your periods are manageable, copper is the usual choice. If heavy or painful periods are part of the reason you are here, Mr Naoum can discuss whether a hormonal coil would suit you. Kyleena uses a lower local hormone dose and is slightly smaller than Mirena, which some people who have not had children find more comfortable.
If you are considering perimenopause care, the appointment is also the place to ask whether a hormonal coil could sit alongside oestrogen as part of HRT. Mr Naoum will recommend a device from your history, your periods and what you want the coil to do.
All fittings and removals are done by Mr Naoum personally, with a nursing chaperone throughout.
Fitting takes about 20 to 30 minutes, including the consultation. Removal is often under a minute once the threads are accessible. Clinics are Thursday and Friday only.
A six-week coil check is optional and costs £250, including ultrasound if needed. It is arranged through the clinic after fitting.
No special preparation is required, and the visit does not have to fall during a period. Mr Naoum will explain any contraception precautions that apply. Ibuprofen or paracetamol an hour before can help if cramping is a concern.
After a short consultation there is a speculum examination and the fitting. Instillagel is applied to the cervix. Mr Naoum explains each step, and you may ask him to pause. A chaperone is present.
You can return to usual activity the same day. Mild cramping or light spotting for a day or two is common, and paracetamol or ibuprofen is usually enough. Mr Naoum gives after-care instructions before you leave. If you have concerns after fitting or removal, call 0207 499 1991.
Removal is the visit when the coil comes out and nothing is put back. The combined visit is for taking the old device out and fitting a new one on the same day.
Removal is £400, including consultant review. Combined removal and fitting is from £700: £700 if the new coil is copper, £800 if it is hormonal.
The device itself is the same. The difference is who fits it, whether consultation and fitting happen together, and how you book.
| Feature | NHS | Medical Express Clinic |
|---|---|---|
| Waiting time | Varies | Thursday and Friday by appointment |
| Who fits the coil | GP, nurse, or doctor with coil training | Consultant Gynaecologist (Mr Naoum) |
| Separate consultation | Often two visits | Consultation and fitting in one visit |
| Bring your own device? | Sometimes, if the surgery does not stock it | Devices are kept in stock |
| Ultrasound during the procedure | Rarely available in primary care | Used when clinically indicated |
| Pain relief during fitting | Varies | Instillagel as standard |
| Cost | Free | £550 copper / £650 hormonal |
| Follow-up coil check | Through the GP, timing varies | £250, arranged after fitting if you want it |
The NHS remains a reasonable option if you can get a timely appointment through your GP or a sexual health clinic. People come here when they want a consultant to do the procedure, when they want consultation and fitting on the same day, or when they need a device that is already in stock.
Nexplanon is a small flexible rod placed under the skin of the upper arm. It is a consultation-led service, not one of the four coil appointments listed above.
Fitting is £500 and removal is £350 on the clinic price list. Call 0207 499 1991 to discuss implant fitting or removal, or raise it during a consultant gynaecology visit if you also have symptoms that need assessment.
Pelvic pain, abnormal bleeding, fertility or early-pregnancy concerns need consultant assessment before coil fitting. Those visits start with consultant gynaecology.
A difficult removal, or an appointment at the sister clinic, is covered by the Gynae Clinic coil service.
The copper coil can be used as emergency contraception within the FSRH window. Call 0207 499 1991 promptly. Clinics are Thursday and Friday only.
Mr Hikmat Naoum, Consultant Gynaecologist, performs every IUD and IUS procedure at Medical Express Clinic personally. He has wide experience in obstetrics and gynaecology. Specialist areas include diagnostic ultrasound, pain, abnormal bleeding, IUD procedures and HPV treatment.
The four coil appointments below are the online bookings. Nexplanon, ultrasound and the six-week check are arranged separately.
Mirena or Kyleena. Consultation, device and procedure included.
£700 copper / £800 hormonal.
Thursday and Friday, by appointment. A £100 deposit is taken when you book. Telephone 0207 499 1991.

Gynaecology and Women's Health • GMC 3047637
“Mr Naoum provides gynaecological assessment, interprets diagnostic ultrasound and treats pelvic pain and abnormal bleeding. He also carries out IUD fitting and removal, and HPV treatment for men and women. He has lectured internationally on obstetrics and gynaecology.”
For the four coil bookings, consultation and fitting or removal happen in the same appointment.
T-Safe, T-Safe Mini, Mirena and Kyleena are kept in stock.
Neither is better for everyone. Copper is hormone-free and may make periods heavier. Hormonal coils often make periods lighter. Kyleena is a lower-dose, slightly smaller hormonal coil. Prices are £550 and £650. Mr Naoum helps you choose in the visit and can explain how long the suitable device is licensed to remain in place.
Mr Naoum fits coils regardless of whether you have had children. Kyleena is slightly smaller than Mirena, which some people find more comfortable.
Most people describe a strong period cramp lasting a short time during insertion. Instillagel is applied to the cervix beforehand at no extra charge. Ibuprofen an hour before can also help.
The copper coil can. FSRH guidance allows fitting within the FSRH window for emergency contraception. Hormonal coils are not used as emergency contraception. Call 0207 499 1991 as soon as you can. Thursday and Friday clinics only.
Copper and hormonal coils can be used while breastfeeding. Any concerns can be discussed with Mr Naoum at the appointment.
Contraception and pregnancy plans can be discussed with Mr Naoum at the appointment, or by calling 0207 499 1991 if advice is needed before removal.
The combined appointment is from £700: £700 for copper and £800 for hormonal, in one visit.
Nexplanon fitting (£500) and removal (£350) are arranged by telephone or through a consultation. The optional six-week coil check (£250) is arranged after fitting. Neither appears in the four coil bookings.