Family Planning

Family Planning Services

The Falkland Surgery offers a full range of family planning services including coil fitting and contraceptive implants.
If you wish to discuss the contraceptive options available to you please book a routine appointment with your usual doctor.

The following link provides a useful summary of the various family planning methods available:

http://www.fpa.org.uk/Information/Readourinformationbooklets/guide


 

Coil Fitting:

Dr Debbie Peter and Dr Sarah Hall are able to fit coils.  There are two types of coil, the copper IUD and the progesterone containing IUS (Mirena).  It is necessary for you to have a consultation with a doctor, prior to booking a coil fitting, to discuss which device is most suitable for you.  It may also be necessary for you to have an infection screen prior to fitting and the doctor will advise you about this at your initial consultation.

Further information regarding these coils can be found by looking at the following links:

IUD    –    http://www.fpa.org.uk/Information/Readourinformationbooklets/IUD
IUS    –    http://www.fpa.org.uk/Information/Readourinformationbooklets/IUS


 

Appointment booking procedure:

A designated coil fitting clinic is held twice a month on the 1st and 3rd Monday of each month.

1st Monday: 5 – 6pm with Dr Hall
3rd Monday: 2 – 3pm with Dr Peter

Please contact reception to book an appointment in these clinics only after you have consulted the doctor.

It is possible to arrange coil fittings outside these times by contacting Susan Smith at the surgery, who will arrange an appointment at a mutually convenient time.  It is occasionally difficult to find an appointment that suits both your monthly cycle and our appointment availability.  This is because a 20 minute appointment is required in three slots with the doctor, the nurse and the minor surgery room.  If we are unable to provide a convenient appointment for you we may recommend that you contact the local family planning clinic.


 

Family planning services in Reading and Newbury are listed at:
http://www.royalberkshire.nhs.uk/wards__departments/s/sexual_health.aspx?theme=Patient

Details of family planning clinics in North and East Hampshire can be found at:
http://www.hampshirecash.org.uk/clinics/clinics-basingstoke.htm


 

When to book your coil fitting:

It is very important that the coil is fitted at the appropriate time in your menstrual cycle.  It is essential that you are not at risk of pregnancy at the time of your coil fitting and therefore you should continue with your current method of contraception until after the coil has been fitted.  The doctor will advise you when it is safe to discontinue other methods of contraception.   The best time to have a coil fitted is after the first heavy days of your period are over (usually days 3-5) but within 7 days from the beginning of your period.   The cervix is softer during your period making the coil easier to fit, however it can be fitted at other times in your menstrual cycle.

If you are using the combined or mini-pill and you have definitely not missed any pills since your last period OR you are on the contraceptive injection or implant then we can fit the coil at any time in your menstrual cycle.

If you are having unprotected sex or are using the diaphragm or condoms a coil should be fitted between day 1 and 7 of your menstrual cycle.  It can only be fitted later in the cycle if you have totally abstained from sex since the first day of your last period.

If you are arranging to have a coil removed and refitted at the same time this can be done at any time in your menstrual cycle BUT you must abstain from sexual intercourse for 7 days before removal.  This is to ensure that, in the rare event that it is not possible to fit a replacement coil there are no sperm in your genital tract that may result in pregnancy.

If you have recently had a baby a coil can be fitted 6 weeks after delivery.  However, your womb is softer and thinner for a while after delivery and there is a slightly higher risk of perforation of the womb.

If you have any queries regarding the right time to book your coil fitting please discuss this with the doctor.


 

On the Day:

Please allow at least 30 minutes for your coil fitting.

It is advisable to take a painkiller at least 30 minutes before your appointment, either Ibuprofen (400mg) or Paracetamol (1g) are suitable (provided you do not have any allergies to these drugs). Do not skip a meal before your appointment.

Some women can feel a little faint during and after the fitting.  It is therefore advisable to have someone with you or someone you can contact by telephone in case you feel unwell.  It is also a good idea not to have any activities planned for the rest of the day after your fitting.

Bring a sanitary pad with you for after the procedure.


 

After the fitting:

Please be aware that you may experience some pain and bleeding, especially in the first 24hrs, after your coil fitting.  Continue with regular painkillers if required.  If the pain persists after 2-3 days and/or you develop a high fever and smelly vaginal discharge please contact the surgery as it may indicate that you have an infection.

If possible avoid heavy lifting, sexual intercourse and using tampons for 2-3 days after fitting.

Follow advice from the doctor regarding use of additional contraceptive methods.

You will need to book a routine appointment (10mins) for a coil check 6 weeks after fitting.

If you have any concerns after your coil fitting please do not hesitate to contact the surgery for advice.


 

Contraceptive Implants:

If you are considering this method of contraception please make an appointment to discuss this with the doctor before booking a fitting appointment. Dr Walter and Dr Hall  are able to fit contraceptive implants.

Further information about implants can be obtained from:
http://www.fpa.org.uk/Information/Readourinformationbooklets/implant

Once you have seen the doctor and decided to have a contraceptive implant fitted you will need to book a 20 minute appointment with the doctor to have this fitted. The doctor will advise you of the appropriate timing of this fitting, depending on your current contraceptive method. A 30 minute appointment is needed for removal or replacement of the implant.