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The Oakwood Surgery
Registrar Training Handbook
“Excellence in education”
Nexplanon, ICUD [Mirena] & Coils….
All women being reviewed for contraception should be offered long acting reversible contraception and coded to show this.
There is a template for this, where you can simply tick the box showing that you have offered LARC advice.
Long Acting Reversible Contraception is one of the following
o Copper coil
Discuss any uncertainty with your supervisor before booking
Consider swabs before coil or Mirena fitting
Please ensure the woman is not pregnant
All Nexplanon need a prescription issuing in advance
The normal/routine fitting is made through reception: please write on a slip of paper required procedure
Coils/Mirena: please book for triple swabs and then book a telephone appointment with Dr Phillips to counsel the patient
Depo-Provera: book within the first 5 days of period starting
Nexplanon: please book a telephone appointment with Dr Harding to counsel the patient
Coils for post coital contraception: appointment can be booked up to 19 days of the period starting AND within 5 days of unprotected sex. Book a telephone appointment with Dr Phillips to counsel the patient. If Dr Phillips is not available, signpost the patient to the East Laithgate Sexual Health Clinic.
If the Mirena is fitted for menstrual or HRT reasons and the lady has contraception [male/female sterilization]: the coil can be fitted at any time during the cycle
Device Duration of action
Nexplanon 3 years
Mirena 5 years
Copper Coil 3 years
Depo-Provera 12 weeks
Read Code Short Code Read Code
Advice About Long Acting Reversible Contraception LARC 8Caw.00