Women’s Health · Pelvic Clinic · Central London & St Albans
Private IUD (Coil) Check Ultrasound Scan, London
A focused pelvic ultrasound that locates your coil and confirms it is exactly where it should be — with a clear answer on the day and a written report you can act on.
- £219all-inclusive
- Same-dayappointments often available
- Female sonographeron request, no extra cost
- No referralbook directly
- 24h reportwritten diagnostic report
- CQC-registeredsince 2012
The scan at a glance
A private IUD (coil) check ultrasound at London Private Ultrasound costs £219 and confirms whether an intrauterine device — a copper IUD or a hormonal IUS such as Mirena — is correctly positioned inside the uterus. The scan is performed at 27 Welbeck Street in London’s Harley Street medical district and at 54–56 Victoria Street, St Albans, with same-day appointments often available, a female sonographer on request, no GP referral required, and a written report within 24 hours.
What is an IUD (coil) check ultrasound?
An IUD (coil) check ultrasound is a standard pelvic ultrasound with one clear job: to find your intrauterine device and confirm its position in the uterine cavity.
Both kinds of coil can be located. A copper IUD reflects sound strongly and is highly visible on ultrasound, while hormonal IUS devices such as Mirena, Kyleena and Jaydess are identified by the characteristic appearance and acoustic shadowing of their frame. The NHS describes intrauterine contraception as more than 99% effective — but that protection depends on the device actually sitting where it was placed, and position is precisely what this scan establishes.
London Private Ultrasound performs the coil check as a two-part examination: a transabdominal scan across the lower abdomen for an overview, and — only with your consent — a transvaginal scan, which gives the clearest view of the device, its arms and its relationship to the top of the uterine cavity. Alongside the device itself, the sonographer reviews the uterus, endometrium and ovaries where visible, the same regions covered by a standard pelvic ultrasound.
When should you have your coil checked?
The NHS advises checking your threads regularly — a few times in the first month after fitting, then after each period. An ultrasound is the definitive next step when anything changes, and the right first step when you simply want certainty.
Threads cannot be felt
If you check for your coil threads and cannot find them, an ultrasound locates the device rather than leaving the question open.
Threads feel longer or shorter
A change in thread length can mean the device has shifted position and is the most common early sign patients notice.
Your partner can feel the device
If the stem of the coil can be felt during sex, the device may be sitting low and should be checked before relying on it.
New pelvic pain or cramping
Persistent cramping beyond the settling-in period after fitting can be a sign of malposition and is easy to assess with ultrasound.
A change in bleeding pattern
Heavier, longer or newly irregular bleeding after things had settled can accompany a displaced device.
Positive pregnancy test with a coil in place
Pregnancy with a coil in place needs prompt assessment of the device’s position and where the pregnancy is developing.
After childbirth
Coils fitted at or soon after delivery have a higher chance of moving, so a position check gives a clear answer before you rely on it.
Before removal or replacement
Confirming the device’s position first makes a planned removal or exchange with your GP or clinic straightforward.
Reassurance after fitting
There is no fixed rule requiring a routine scan after every fitting — but if you would simply like confirmation that everything is where it should be, this scan provides it.
What the guidance says. The Faculty of Sexual & Reproductive Healthcare (FSRH) recommends ultrasound as the first-line investigation when coil threads cannot be seen or felt. The NHS estimates that around 1 in 20 coils are expelled, most often in the first three months after fitting, while FSRH guidance puts the risk of uterine perforation at around 1 to 2 per 1,000 insertions. A coil check ultrasound is designed to detect — or, far more often, rule out — exactly these events.
What does the scan look for?
The IUD check ultrasound at London Private Ultrasound answers one question in full: where is the device, and is that where it should be?
Correct fundal position
The scan confirms the coil is sitting in the upper part of the uterine cavity (the fundus), which is where an IUD or IUS works as intended.
Low-lying or rotated device
Ultrasound shows whether the device has slipped towards the cervix, rotated, or is no longer aligned with the cavity.
Partial expulsion
A device moving into the cervical canal is identified clearly, so it can be replaced before contraceptive protection is lost.
Suspected embedment
If part of the device appears to sit within the muscle of the uterine wall, the report recommends the right next step — a 3D pelvic ultrasound gives the most detailed view in these cases.
Device not seen in the uterus
If no device is found, the report sets out the FSRH pathway: an abdominal X-ray to distinguish unnoticed expulsion from the rare case of perforation.
The surrounding pelvis
The appointment also reviews the uterus, endometrium and ovaries where visible — the same regions covered by a standard pelvic ultrasound.
What happens during the appointment?
Book and prepare
Book online, by phone or by WhatsApp. For the tummy (transabdominal) part of the scan, drink around one litre of water about an hour beforehand and try not to empty your bladder.
Transabdominal scan first
The sonographer scans across your lower abdomen to get an overview of the uterus and the device’s position.
Internal scan — only with your consent
A transvaginal scan usually gives the clearest view of the coil, and is performed only with your full consent, with an empty bladder. You stay in control throughout, and a female sonographer is available on request at no extra cost.
Results and report
The findings are explained to you at the appointment, and a written report follows within 24 hours — suitable for your GP, sexual health clinic or gynaecologist.
Consent-led intimate imaging. An internal scan is never assumed. It is offered because it gives the best view of the device, performed only with your full consent, and you remain in control throughout the appointment. A female sonographer is available on request, subject to appointment availability, at no extra cost.
Which pelvic scan do you need?
Three closely related scans, one decision. If your only question is the coil, this page is the right scan; the table shows when its siblings fit better.
| Scan | Best for | Coil assessment | Price | Book |
|---|---|---|---|---|
| IUD (Coil) Check Ultrasound | Locating the device and confirming its position, with a review of the surrounding pelvis | The focus of the entire scan | £219 | Book this scan |
| Pelvic Ultrasound Scan | Broader pelvic symptoms — pain, bleeding, cysts, fibroids — where the coil is one question among several | Included as part of the general review | £219 | View scan |
| 3D Pelvic Ultrasound Scan | Complex cases — suspected embedment, an unusually shaped uterus, or an earlier scan that left the position unclear | Adds 3D views of the cavity and the device within it | £269 | View scan |
If your coil check finds something that needs 3D detail, the team will say so — you can step up to the 3D pelvic scan rather than starting again.
Who performs the scan?
Coil check scans at London Private Ultrasound are performed by an experienced, female-led scanning team, with clinical governance from the clinic’s Medical Director.
Mrs Hosna Rashidi
Ultrasound Consultant with a special interest in women’s health and gynaecological scanning.
Female clinicianMrs Ruchi Gupta
Consultant Sonographer experienced in pelvic and gynaecological ultrasound.
Female clinicianMiss Ashleigh Austin
Ultrasound Consultant performing pelvic, gynaecological and early pregnancy scanning.
Female clinicianClinical governance: Dr Babak Soleimanpour, Medical Director. All clinicians are registered with the relevant UK regulators, and the clinic is CQC-registered.
IUD (coil) check ultrasound — common questions
Eighteen questions patients ask before booking a coil check. For anything not covered, call 020 7101 3377 or message on WhatsApp.
How much does a private IUD (coil) check ultrasound cost in London?
A private IUD (coil) check ultrasound at London Private Ultrasound costs £219, all-inclusive. The price covers the scan performed by a specialist, a verbal explanation of the findings at the appointment, and a written report within 24 hours. There are no hidden fees and no membership.
Do I need a GP referral to book a coil check scan?
No. No GP referral is required — you can book directly online, by phone on 020 7101 3377 or by WhatsApp. If you have your fitting record, previous scan reports or clinic letters, bring them along: knowing which device you have and when it was fitted helps the sonographer.
Can you check both copper coils and hormonal coils such as Mirena?
Yes. Both types are identifiable on ultrasound. A copper IUD is highly visible because the copper reflects sound strongly, and hormonal IUS devices such as Mirena, Kyleena and Jaydess are located by the characteristic appearance and acoustic shadowing of their frame.
Is an internal (transvaginal) scan necessary?
A transvaginal scan usually gives the clearest view of the device and is the most reliable way to assess its exact position — but it is only performed with your full consent. If you prefer a transabdominal-only assessment, tell the sonographer; the scan will be tailored to what you are comfortable with.
Does the scan hurt?
A coil check ultrasound is not usually painful. The transabdominal scan involves gentle probe pressure on the lower abdomen, and the transvaginal scan may feel briefly uncomfortable but should not hurt. The sonographer explains each step and stops at any point if you ask.
Can I request a female sonographer?
Yes. A female sonographer is available on request, at no extra cost, subject to appointment availability. Please mention it when booking.
How soon after having a coil fitted should I have a scan?
There is no requirement for a routine scan after every fitting — FSRH guidance no longer asks for a standard follow-up appointment. A scan is the right step if your threads cannot be felt, feel longer or shorter, or you have persistent pain or a change in bleeding after the settling-in period — or simply if you would like the reassurance of seeing the device correctly placed.
What should I do if I cannot feel my coil threads?
Do not assume the coil has gone — threads can curl up into the cervical canal while the device remains perfectly placed. The Faculty of Sexual & Reproductive Healthcare (FSRH) recommends ultrasound as the first-line investigation when threads cannot be seen or felt, and advises using additional contraception until the device’s position is confirmed.
What happens if the coil is not seen in my uterus?
If ultrasound does not find the device in the uterus, the FSRH pathway is an abdominal X-ray to tell the difference between unnoticed expulsion and the rare case of perforation, where the device has passed through the uterine wall. Your written report sets this out clearly so your GP or sexual health clinic can arrange the X-ray and next steps promptly, and you should use additional contraception in the meantime.
How common is it for a coil to move?
The NHS estimates that around 1 in 20 coils are expelled, most often in the first three months after fitting. Perforation is much rarer — FSRH guidance puts it at around 1 to 2 per 1,000 insertions. Both are exactly what this scan is designed to detect or rule out.
Can I have the scan during my period?
Yes — bleeding does not usually prevent a coil check, and the scan can normally go ahead. If you would feel more comfortable rescheduling, that is entirely fine; call or WhatsApp the clinic and the team will move your appointment.
Do you fit, remove or replace coils?
No — this is a diagnostic scan. London Private Ultrasound checks the device’s position and provides a written report the same or next day, which your GP, sexual health clinic or gynaecologist can use to plan removal, replacement or follow-up. The report is written in plain English and is suitable for NHS or private onward referral.
I have a positive pregnancy test with a coil in place — can you help?
Yes, and this situation should be assessed promptly. An ultrasound checks where the pregnancy is developing and where the device is sitting, which is exactly the information your doctor needs to plan safe next steps. Same-day appointments are often available — call 020 7101 3377 rather than booking online if you need to be seen urgently.
Do I need a full bladder for the scan?
For the transabdominal part, a comfortably full bladder helps: drink around one litre of water about an hour before the appointment and try not to empty your bladder. If a transvaginal scan is performed, an empty bladder is preferred — you can use the bathroom between the two parts.
When will I get my results?
The sonographer explains the main findings during the appointment itself, and a written diagnostic report follows within 24 hours, suitable for your GP, sexual health clinic, gynaecologist or private specialist.
Is ultrasound safe for checking a coil?
Yes. Ultrasound uses sound waves rather than ionising radiation, is the standard first-line way to assess an intrauterine device, and does not move, heat or affect the coil in any way.
Where can I have an IUD check ultrasound?
At either clinic: 27 Welbeck Street, London W1G 8EN, in the Harley Street medical district, or 54–56 Victoria Street, St Albans AL1 3HZ. Same-day appointments are often available at both.
What is the difference between this scan and the 3D pelvic ultrasound?
The IUD (coil) check is a standard 2D pelvic ultrasound focused on locating the device and confirming its position, at £219. The 3D pelvic ultrasound (£269) adds three-dimensional reconstruction of the uterus and cavity — the better choice when embedment is suspected, when the uterus has an unusual shape, or when an earlier scan has left the position unclear. If your coil check finds something that needs that extra detail, the team will tell you and you can upgrade.
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Where can you book?
Central London
27 Welbeck Street, London W1G 8EN — in the Harley Street medical district.
Get directions →Content and price reviewed: 27/07/2026 · Next review due: 27/01/2027.
Clinical sign-off: Dr Babak Soleimanpour (Medical Director). Medical writing and page build: Mr Pedram Aghaei (Co-Founder · Medical Writer), London Private Ultrasound. This page is patient information and does not replace a medical consultation.