How we help
Coil fitting
Hormonal coil fitting and removal for contraception and as part of HRT, performed by our women's health specialists.
- From £325
- 45 min appointments
- In person
We fit and remove hormonal coils (such as the Mirena), contraceptive implants and HRT (oestradiol) implants. Procedures are carried out at our clinics by clinicians trained by the Faculty of Sexual and Reproductive Healthcare (FSRH).
The Mirena coil
The Mirena is a small device placed in the womb that releases a progestogen called levonorgestrel. It:
- provides contraception
- protects the womb lining as the progestogen part of HRT, when used with oestrogen
- often makes periods lighter, which helps with heavy bleeding in perimenopause
Other hormonal coils are good contraception and can help with heavy periods, but they are not licensed as part of HRT. Read more about progestogen options.
Implants
A contraceptive implant is a small, flexible rod placed under the skin of your upper arm. It provides contraception for up to three years.
An oestradiol (HRT) implant is placed under the skin and slowly releases oestrogen. It may be an option if other ways of taking HRT haven’t suited you. Your specialist will talk through whether it is right for you.
What happens
Your clinician will explain the procedure, check it is suitable for you and answer your questions before anything is fitted. Most fittings take place within a 45-minute appointment.
Fees
| Mirena coil fitting 45 min | £335 | ||
|---|---|---|---|
| Contraceptive implant fitting 45 min | £325 | ||
| Oestradiol (HRT) implant 45 min | £515 | ||
| Coil removal | £75 | ||
| Contraceptive implant removal | £75 |
Where this service is available
Frequently asked questions
Does a Mirena coil count as HRT?
It can provide the progestogen part of HRT, which protects the womb lining while you take oestrogen. You still need oestrogen alongside it for menopause symptoms.
Do I still need contraception in perimenopause?
Yes. You can still get pregnant during perimenopause, and HRT is not contraception. A Mirena coil provides both contraception and womb protection.
Conditions we help with
Perimenopause
The years before your final period — when hormones swing rather than simply fall — are often the most symptomatic of all. If your…
Menopause
The average age of menopause in the UK is 51 — but the symptoms usually start years earlier and the decisions last years beyond.…
Progesterone intolerance
If HRT made you feel worse instead of better — low mood, bloating, anxiety, rage — progesterone intolerance may be why. It's one of…
Endometriosis
Pain that stops your life for days each month is not "just a bad period". Endometriosis affects around 1 in 10 women — and…
From our knowledge library
Knowledge · PerimenopauseContraception During Perimenopause: Do You Still Need It?
By Dr Wendy Knoops, GP, Women’s Health & Menopause Specialist at TMC Many women are surprised to learn that pregnancy is still…
Knowledge · MenopauseMyths about Migraines and Menopause Hormone Therapy
Navigating Migraines and Menopause: Debunking Myths About Hormone Therapy Among the many symptoms of menopause, migraines can be particularly challenging for those…
Knowledge · Progesterone intoleranceProgesterone Intolerance: Why You Feel Worse on HRT and What Alternatives Exist
By Dr Joanne Hobson, Clinical Lead Director, The Menopause Consortium UK What do we mean by “progesterone intolerance”? Many women start menopause…
Knowledge · EndometriosisEndometriosis Uncovered: Smarter Diagnosis and Holistic Healing for a Hidden Condition
By Mr Amr Moneib, Consultant Gynaecologist — TMC London What Is Endometriosis? Endometriosis is a condition where tissue similar to the lining…
Knowledge · PerimenopauseThriving Through the Perimenopause and Menopause: The Power of Exercise and Lifestyle
By Dr Jennifer Fildes, GP, MBChB, MRCGP, DRCOGMember of the British Menopause Society (BMS) and the National Association of Premenstrual Syndrome (NAPS)…
Knowledge · MenopauseBrain Fog in Menopause: Understanding Cognitive Changes During the Transition
If you’re experiencing mental cloudiness, memory lapses, or difficulty concentrating during perimenopause or menopause, you’re not alone. Brain fog and menopause are…