FAQs

Frequently asked questions

The FAQ's below should hopefully answer most questions. However if you still have questions please don't hesiate to get in touch. We aim to respond within 24 hours.

Coils

Hormonal (IUS)

  • Can Kyleena be used while breastfeeding?

    Yes, Kyleena is considered a safe option for breastfeeding individuals as it does not interfere with milk production or quality.

  • Does Kyleena protect against sexually transmitted infections (STIs)?

    No, Kyleena does not provide protection against STIs. Additional measures, such as condoms, are recommended for STI prevention.

  • Are there common side effects associated with Kyleena?

    Possible side effects include changes in bleeding patterns, cramping, and, in rare cases, expulsion or perforation.

  • Can Kyleena be removed if I want to conceive or discontinue use?

    Yes, Kyleena can be easily removed by a healthcare professional, and fertility often returns promptly after removal.

  • Does Kyleena affect menstrual cycles?

    Some individuals may experience changes, such as lighter periods or irregular bleeding, while others may maintain their regular menstrual patterns.

  • How long does Kyleena provide contraceptive protection?

    Kyleena is effective for up to five years, offering long-term and reversible contraception.

  • How does Kyleena prevent pregnancy?

    Kyleena releases a low dose of levonorgestrel, a hormone that thickens cervical mucus, inhibits sperm movement, and thins the uterine lining.

  • Is the Mirena coil suitable for everyone?

    Not everyone may be a candidate for the Mirena coil. It’s essential to discuss medical history and potential risks with a healthcare provider before choosing this contraceptive option.

  • Can the Mirena coil cause side effects?

    While side effects are possible, they are generally mild. Common side effects include changes in menstrual bleeding patterns, but these often improve over time.

  • Does the Mirena coil protect against sexually transmitted infections (STIs)?

    No, the Mirena coil does not protect against STIs. Additional methods, like condoms, are recommended for STI prevention.

  • Can the Mirena coil be removed anytime?

    Yes, the Mirena coil can be removed at any time by a healthcare professional, and fertility usually returns promptly.

  • What are the benefits of the Mirena coil?

    Besides preventing pregnancy, the Mirena coil often leads to lighter periods and is a reversible, low-maintenance contraceptive option.

  • How long does the Mirena coil provide contraception?

    The Mirena coil offers effective contraception for up to eight years.

  • How does the Mirena coil work?

    The Mirena coil releases a low dose of the hormone levonorgestrel, which thickens cervical mucus, inhibits sperm movement, and thins the uterine lining, preventing pregnancy.

Non Hormonal (IUD)

  • Are there any potential side effects associated with the copper contraceptive coil?

    Potential side effects of the copper contraceptive coil include heavier periods, increased cramping, changes in menstrual patterns, rare expulsion or displacement, risk of uterine perforation during insertion, and a slight chance of developing pelvic inflammatory disease (PID).

  • How soon after removal of the copper contraceptive coil can I try to conceive?

    After the removal of the copper contraceptive coil, you can try to conceive immediately, as fertility typically returns to normal without delay.

  • What is the insertion process like for the copper contraceptive coil?

    During the insertion of the copper contraceptive coil, your healthcare provider will first perform a pelvic exam to determine the position and size of your uterus. They will then use a special inserter to place the device through the cervix and into the uterus. The process may cause some discomfort or cramping, similar to menstrual cramps. In some cases, your healthcare provider may recommend taking pain medication beforehand to minimize any discomfort. The entire procedure usually takes only a few minutes.

  • What are the benefits of non-hormonal IUDs?

    Benefits of non-hormonal IUDs include hormone-free contraception, long-term efficacy, quick return to fertility upon removal, minimal side effects, potential for lighter periods, compatibility with breastfeeding, low maintenance, and emergency contraception use.

  • How does the copper contraceptive coil prevent pregnancy?

    Non-hormonal IUDs use copper to prevent pregnancy. Sperm doesn’t like copper — it changes the way sperm cells move so they can’t swim to an egg. If sperm can’t make it to an egg, pregnancy can’t happen.

  • Can the IUD come out or get stuck?

    The IUD must be fitted by a specially trained clinician who carefully puts it in the correct position. There is a small risk (about 1 in 1000) at the time of insertion that it can go into or through the muscle of the uterus (perforation) and end up in your pelvis. There is also the possibility (1 in 20) that it will be pushed out of your uterus and come out of your vagina (expulsion) . We advise that women check that they can feel the threads of their IUD 6 weeks after it has been inserted and to seek medical advice if you experience unusual pain, bleeding or discomfort, particularly in the first month after insertion.

Implants

Nexplanon

  • Does Nexplanon protect against sexually transmitted infections (STIs)?

    No, Nexplanon provides contraception but does not protect against STIs. Additional precautions may be needed.

  • Can Nexplanon affect menstrual cycles?

    Irregular bleeding or changes in menstrual patterns are common but tend to improve over time.

  • Is Nexplanon reversible?

    Yes, fertility typically returns promptly after Nexplanon removal.

  • How long does Nexplanon provide contraception?

    Nexplanon is effective for up to three years, after which it should be removed or replaced.

  • How does Nexplanon work?

    Nexplanon releases a hormone called etonogestrel, preventing ovulation and thickening cervical mucus to hinder sperm movement.

  • Is it painful to get an implant inserted?

    Most people just feel a little pinch or slight sting when they get the numbing injection. You shouldn’t be able to feel the implant being inserted. Your arm may ache a little where the implant was inserted after the numbing wears off, but it goes away quickly. You may have a bit of tenderness or swelling around the implant for a few days and it may look bruised for a week or two.

    Keeping the area dry for 24 hours is important afterwards. You should be able to feel both ends of the rod under your skin. If this changes at any time, contact us for a consultation.

  • How does it feel to get the Nexplanon implant removed?

    Implant removal only takes a few minutes, but the process is a little longer than getting it put in.

    Just like with the insertion, you will receive an injection to numb a small area of your arm. Then a small cut is made to remove the implant. You usually just feel a little pinch or stinging when you get the numbing injection. After that, it shouldn’t hurt when the Dr makes the incision to take the implant out.

Making An Appointment

Booking and Payment

  • What payment methods do you accept?

    You can make payment via any major credit/debit card. Including American Express.

  • What’s the consultation fee?

    The consultation fee relates to the doctors consultation time, this is a fixed amount of £295. You will only be charged for the actual fitting of a contraceptive device if the doctor is able to fit it, occasionally this isn’t possible, or if following the consultation you decide not to proceed with the fitting. You will not be charged for a device if it hasn’t been fitted. However, you will be given the opportunity to rebook at a later date for the device to be fitted, in this case the consultation fee will be waived.

  • What if I need to cancel

    You can cancel your booking upto 72 hours before your appointment for a full refund of your prepayment fee. That gives us a chance to release your appointment to other patients.

  • Can I pay on the day?

    The cost of the procedure is to be paid after the procedure has been successfully performed. A prepayment fee must be paid at the time of booking to secure your appointment. Payment can be made with any major credit or debit card only.

  • How do I make an Appointment

    Choose which service you require from our list of contraceptive services or menopause services, and click on the Book An Appointment button.

During the Appointment

  • Who will be in the room with me?

    During the appointment only Dr Smith and a female nurse will be in the room.

  • How long is an appointment

    Each appointment is between 30 and 40 minutes.

  • What if you can’t fit my contraceptive device

    If for some reason we are unable to fit your contraceptive device on the day, you will not be charged for the device fitting. The remainder of your consultation fee will, however, still be payable on the day. You will be given an option to rebook for a later date. You will not be charged a second consultation fee in this case.

  • What will happen when having a coil fitted?

    At the clinic, you will meet Dr Smith who will be fitting your copper or hormonal IUD. She will have a healthcare assistant or nurse will be there to support you. Dr Smith will check your medical history and answer your questions. We suggest that you have a light meal and some painkillers before coming to have your IUD fitted. Dr Smith will examine you before fitting the procedure. This is an examination to look at the neck of the womb, similar to when you have a smear test. The IUD is then fitted into the womb, and the threads of the device will be cut so that they sit high up inside the vagina. The whole appointment usually lasts around 40 minutes.

Before the Appointment

  • Do I have to be on my period to have a coil?

    No, you just have to make sure you are not at risk of pregnancy at the time of insertion. This means using a reliable form of contraception or abstinence from your last period until the date of fitting

  • What areas do you cover

    We are based in Edinburgh, Scotland, but we accept patients from any location.

  • What if I need to cancel

    You can cancel your booking upto 72 hours before your appointment for a full refund of your prepayment fee. That gives us a chance to release your appointment to other patients.