Intrauterine Device (IUD)

The intrauterine device, commonly called the “coil”, is a long-term, highly effective and reversible method of contraception placed inside the uterus. There are hormonal and copper devices, and the choice depends on your needs, cycle, plans and medical history. At Polyclinic Cito the approach is individualized. Before insertion we perform an assessment and explain what to expect, how the procedure looks and when the follow-up is scheduled.

Page Overview

What is an intrauterine device?

An intrauterine device (coil or IUD) is a small medical device placed in the uterus to prevent pregnancy for several years. The most commonly used are the copper device (non-hormonal) or the hormonal device (with local hormone action in the uterus). The method is “set and forget” - after placement you do not have to think about taking medication every day, and fertility usually returns quickly after removal.

Note: The coil does not protect against sexually transmitted infections. If there is a risk, using a condom alongside it is recommended.

At Cito Polyclinic we provide

  • An assessment of the suitability of the coil (IUD)
  • Counselling: hormonal vs. copper device
  • If needed, an ultrasound assessment of the uterus
  • Placement or removal of the coil
  • A follow-up examination and monitoring instructions

When is the coil recommended?

The most common reasons why women choose this method.

Protection from pregnancy without thinking about it every day

  • You want long-lasting and effective protection from pregnancy (3-5 years)
  • You do not want to take pills every day 
  • You want a method with minimal “maintenance”
  • You want a reversible method (removal possible on request)

Special situations and needs

  • The need for a non-hormonal option (a copper device)
  • Heavier or more painful menstruation (for some, a hormonal IUD is better – on assessment)
  • After childbirth – as recommended by the gynaecologist 
A quick decision: If you want long-term contraception, the coil (IUD) is often one of the most practical choices - provided that the anatomy of the uterus and your state of health are suitable.

What does fitting the coil look like?

The fitting takes place in the gynaecology clinic as a routine  procedure. 

1. A short conversation and assessment

During the conversation the device is selected, a plan is made, and all your questions are answered.

2. Gynaecological examination

Before fitting, a gynaecological examination  is performed and, if needed, an ultrasound assessment. We determine whether the anatomy of the uterus is suitable for fitting the device. 

3. Fitting the coil

A short procedure in the clinic under local anaesthesia. The gynaecologist inserts the device into the uterus, and this procedure takes a short time, a few minutes. 

4. Instructions and follow-up

The coil can stay in place for 3-5 years. The gynaecologist explains what is normal after the procedure and when you should come for a follow-up.

During fitting, brief cramping and discomfort are possible. The intensity varies. 
Most patients are anxious about having the coil fitted, but with good communication the discomfort is kept to a minimum.

Preparing for coil fitting

Good preparation makes the procedure easier and reduces uncertainty.

  • Bring previous gynaecological findings (Pap, ultrasound, therapies) if you have them
  • Note the date of your last period and the length of your cycle
  • If you have symptoms of infection (burning, unpleasant discharge) - let us know in advance

Recommendations before you arrive

  • Pain relief
    Take an analgesic about 30 to 60 minutes before your appointment. This significantly helps to ease the cramps that can occur during and immediately after fitting.
  • A light meal and hydration
    Eat a light meal and drink enough water to avoid dizziness or fainting.
  • A sanitary pad
    Bring a sanitary pad, as light spotting immediately after fitting is completely normal.
Note:If inflammation is suspected, it is often sensible to clear the infection first and then fit the device - so that the procedure is safer and more comfortable.

What do you gain from this procedure?

Reliable long-term protection from pregnancy, with an individual choice of device and a clear follow-up plan. 

1
Long-lasting protection 
Protection that lasts for years - without thinking about it every day
2
An individual choice of device 
A hormonal or copper device according to your needs, cycle and state of health 
3
A follow-up plan
You know when to come for a follow-up and what to expect after the coil is fitted

In everyday life this means

  • a calmer life without constant reminders about contraception
  • a choice of coil tailored to your needs (not “one for all”)
  • support if you have questions after fitting
  • clearly arranged follow-ups, without unnecessary examinations
Long-lasting
Reliable
Individual

Why have the coil fitted at Cito Polyclinic?

With the coil, the most important things are to correctly assess whether the method is suitable, to perform the procedure carefully and to clearly explain what follows after fitting. At Cito Polyclinic, the following are available:  

  • An individual assessment and realistic expectations
  • An individual approach and time for questions
  • If needed, an ultrasound assessment before/after fitting
  • Clear instructions: what to expect and when to get in touch

Not sure which device to choose?

Tell us your needs and we will help you choose the best option.

Price of fitting a coil (intrauterine device or IUD)

The price of fitting a hormonal intrauterine device at Cito Polyclinic is 220€ and includes the device. Fitting a copper intrauterine device is 180and includes the device.

You can get the first available appointment straight away by phone on +385 21 457 800 or by sending a short message via the contact form.

  View the full price list

Doctors

Our team of expert physicians

Frequently Asked Questions

Find answers to common questions about this service

What are the differences between copper and hormonal IUDs and who is each suited for?

A copper IUD contains no hormones and therefore has fewer side effects; a hormonal IUD releases levonorgestrel and reduces the heaviness/pain of menstruation. The choice depends on the indication and the patient's preferences.

How is the insertion procedure performed, does it hurt and how long is recovery?

Insertion is performed in the outpatient setting, takes a few minutes and may be uncomfortable; analgesics are recommended. Recovery is quick, with a check-up after the first menstruation.

What are the possible side effects and risks after IUD insertion?

Cramps, irregular bleeding, expulsion and, rarely, perforation or infection are possible. The risk is reduced by proper indication and aseptic technique.

How long does the IUD provide protection and when is removal/replacement needed?

The duration of protection depends on the model: copper 5–10 years, hormonal 3–6 years. A follow-up exam is recommended 4–6 weeks after insertion and then annually.

Testimonials from our patients

Contact us

Polyclinic Cito
Polyclinic Cito