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.
At 117a Harley Street, Consultant Gynaecologist Dr Hikmat Naoum (FRCOG, GMC 3047637) personally carries out all private copper (IUD) and hormonal (IUS) coil fittings, removals and single-visit replacements with a nursing chaperone present throughout.
Every coil fitting appointment takes 20 to 30 minutes and covers your consultation, the coil itself, and the fitting in one visit, with T-Safe, T-Safe Mini, Mirena and Kyleena kept in stock on site.
All-in copper coil fitting costs £550, hormonal coil fitting (Mirena or Kyleena) costs £650, standalone coil removal is £400, and combined removal and replacement in a single appointment starts from £700 (£700 copper, £800 hormonal).
To keep the procedure as comfortable as possible, Instillagel (numbing lidocaine anaesthetic gel) is applied to the cervix as standard at no extra charge, and bedside ultrasound is available in the room when clinically indicated.
Dedicated consultant coil clinics run on Thursdays and Fridays by appointment at 117a Harley Street, London (booked online with a £100 deposit or by calling 0207 499 1991).
Private coil fitting at Medical Express Clinic costs £550 for a copper coil (T-Safe or T-Safe Mini) and £650 for a hormonal coil (Mirena or Kyleena), with your consultation, device, Instillagel anaesthetic gel and fitting included in one visit, removal at £400, and single-visit removal and replacement from £700.
Choosing between a copper coil (IUD) and a hormonal coil (IUS) usually comes down to three practical questions: whether you want a completely hormone-free method, how you want your periods to behave, and which frame size suits your anatomy. At your appointment, Consultant Gynaecologist Dr Hikmat Naoum will discuss your cycle and explain how long your chosen device is licensed to remain in place.
Both devices are small, T-shaped frames placed gently inside the uterus. The copper coil (IUD) contains no hormones at all; instead, copper ions create an environment where sperm cannot survive or reach an egg. The hormonal coil (IUS) releases a steady, localised dose of progestogen directly into the womb, thinning the uterine lining and thickening cervical mucus with minimal systemic hormone absorption.
All-in copper coil fitting is £550. All-in hormonal coil fitting (Mirena or Kyleena) is £650, with consultation, device and procedure included in a single visit.
| 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 synthetic hormones entirely and your natural periods are already comfortable, the copper coil (available in standard T-Safe and the smaller T-Safe Mini frame) is the straightforward choice. If you want lighter, less painful periods alongside reliable contraception, a hormonal coil is often transformative: Mirena delivers a higher local progestogen dose that frequently stops bleeding altogether, while Kyleena uses a narrower insertion tube, a smaller frame and a lower hormone dose that many women who have not had children prefer.
If you are exploring perimenopause care, Dr Naoum can also advise whether fitting a Mirena coil could provide the endometrial protection needed alongside oestrogen HRT.
Once your coil is in place, or if you want to review body-identical oestrogen, patches, gels, sprays or female testosterone alongside it, you can book a 30-minute consultation (£150) with Dr Penny Sheehan at our Harley Street HRT clinic.
Many women put off getting or replacing a coil because of a rushed or uncomfortable previous experience. Here, every single coil fitting, removal and replacement is performed personally by Consultant Gynaecologist Dr Hikmat Naoum, supported by a nursing chaperone throughout.
Your entire coil fitting appointment takes about 20 to 30 minutes, including your consultation and the insertion itself. A straightforward coil removal usually takes less than a minute once the threads are visualised. Clinics run on Thursdays and Fridays.
If you would like the reassurance of a follow-up position check six weeks after fitting, an optional coil check appointment is £250 (including ultrasound if needed).
You do not need to be on your period to have a coil fitted, and Dr Naoum will check timing and any contraception precautions with you first. Taking standard ibuprofen or paracetamol about an hour before your appointment helps settle any post-fitting cramps.
After reviewing your history and device choice, Dr Naoum performs a gentle speculum examination, applies Instillagel local anaesthetic gel to the cervix, and places the coil. He talks you through every step and works entirely at your pace with a nursing chaperone present.
Most women head straight back to work or normal daily plans. Period-like cramping or light spotting for 24 to 48 hours is normal and responds well to simple pain relief. You leave with clear aftercare notes and can call our team on 0207 499 1991 at any time if you have a question.
Whether you are ready to conceive, switching contraception, or due to exchange an expiring coil for a fresh device, both standalone removal and single-visit exchange can be booked directly online.
Standalone coil removal is £400, including your consultant review. Combined removal and replacement in a single visit starts from £700 (£700 when fitting a new copper coil, or £800 when fitting a new Mirena or Kyleena hormonal coil).
The Mirena, Kyleena and T-Safe devices we fit are identical to those used in the NHS. What changes privately is having a senior Consultant Gynaecologist perform the procedure, completing your consultation and fitting in one appointment, and having every device ready on the shelf.
| Feature | NHS | Medical Express Clinic |
|---|---|---|
| Waiting time | Varies by local clinic list | Thursday and Friday by appointment |
| Who fits the coil | GP, nurse, or doctor with coil training | Consultant Gynaecologist (Dr Naoum) |
| Separate consultation | Often requires two separate visits | Consultation and fitting in one visit |
| Bring your own device? | Sometimes required from a pharmacy | All four devices kept in stock |
| Ultrasound during the procedure | Rarely available in primary care | Available on site when clinically indicated |
| Pain relief during fitting | Varies by practice | Instillagel anaesthetic gel as standard |
| Cost | Free | £550 copper / £650 hormonal |
| Follow-up coil check | Through GP, timing varies | £250 optional check arranged after fitting |
If your local GP surgery or sexual health hub can offer a prompt appointment, the NHS is a good route. Women choose our Harley Street clinic when they want consultant-level care, one-visit convenience with Instillagel pain relief as standard, or immediate access to both standard and mini coil frames.
If you prefer a subdermal contraceptive implant rather than an intrauterine coil, Nexplanon is a small flexible rod placed discreetly under the skin of the inner upper arm. It is arranged as a dedicated consultation-led procedure rather than through the four online coil booking buttons.
Nexplanon fitting is £500 and removal is £350. Please call 0207 499 1991 to arrange an implant appointment, or discuss it during a consultant gynaecology visit if you also want broader gynaecological symptoms reviewed.
If you are experiencing unexplained pelvic pain, bleeding between periods, bleeding after sex, or fertility and early-pregnancy concerns, it is important to investigate the cause before fitting a coil. Please start with a consultant gynaecology consultation.
For complex or lost-thread coil removals, or if you need an appointment outside our Thursday and Friday sessions, see our sister clinic's Gynae Clinic coil service.
A copper coil can also be fitted as emergency contraception within the FSRH window; please call 0207 499 1991 promptly so we can check Thursday or Friday clinic availability.
Dr Hikmat Naoum, Consultant Gynaecologist, personally carries out every IUD and IUS fitting, removal and exchange at Medical Express Clinic. With decades of specialist experience in obstetrics, gynaecology and pelvic ultrasound, he is particularly sought after by women who feel anxious about coil procedures or who have had a difficult fitting elsewhere.
Select one of the four direct coil appointments below to book online. Nexplanon implants and the optional six-week check are arranged by telephone.
T-Safe or T-Safe Mini. Consultation, device, Instillagel and procedure included.
Mirena or Kyleena. Consultation, device, Instillagel and procedure included.
Single-visit exchange: £700 with a new copper coil or £800 with a new hormonal coil.
Thursday and Friday, by appointment. A £100 deposit is taken when you book. Telephone 0207 499 1991.

Gynaecology and Women's Health • GMC 3047637
“Dr 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.”
Service information reviewed 26 August 2026.
Written by Mr Stephen Lingam and reviewed by a named, GMC-registered doctor.
For all four online coil bookings, no separate appointment is needed: your consultation with Dr Naoum and the fitting, removal or replacement happen in the same 20 to 30 minute appointment.
We keep T-Safe, T-Safe Mini, Mirena and Kyleena in stock at 117a Harley Street, and the cost of the device is included in your fitting fee.
The right choice depends on your body and goals: the copper coil (£550) is 100% hormone-free but can make periods heavier initially, while hormonal coils (£650) reduce menstrual bleeding and cramps (Mirena often stops periods altogether, and Kyleena offers a smaller frame and lower hormone dose). Dr Naoum helps you choose during your visit and explains how long the device is licensed to remain in place.
Dr Naoum routinely fits coils for women who have not had children, and we stock smaller-framed options such as Kyleena (hormonal) and T-Safe Mini (copper) for added comfort.
Most women feel a brief period-like cramp during insertion. To make the procedure as comfortable as possible, Dr Naoum applies Instillagel (lidocaine anaesthetic gel) to the cervix as standard at no extra cost, and taking ibuprofen an hour beforehand also helps.
Yes, the copper coil can be fitted as emergency contraception within the FSRH window (hormonal coils are not used for emergency contraception). Please call 0207 499 1991 as soon as possible to check Thursday and Friday clinic availability.
Yes, both copper and hormonal coils are safe to use while breastfeeding. Dr Naoum will check the timing since delivery with you at your appointment.
Your natural fertility returns immediately once a copper or hormonal coil is removed. If you are planning a pregnancy or switching contraception, Dr Naoum will talk through your timeline at the visit.
Book the combined removal and fitting appointment (from £700: £700 for a new copper coil or £800 for a new hormonal coil) so Dr Naoum can remove your old device and insert the new one in a single visit.
Nexplanon fitting (£500) and removal (£350) are arranged by calling 0207 499 1991 or through a consultation, and the optional six-week ultrasound coil check (£250) is booked directly with the clinic after your fitting.