Coil contraception refers to intrauterine devices (IUDs) or intrauterine systems (IUSs), which are small, T-shaped, long-acting reversible contraceptives (LARCs) inserted into the uterus. They are over 99% effective, providing, safe, long-term, and immediately reversible protection against pregnancy for 3 to 10 years depending on the type. There are two main types of coils: 1. Copper Coil (IUD - Non-Hormonal) * How it works: Releases copper, which is toxic to sperm and prevents fertilized eggs from implanting in the womb. * Duration: Lasts for 5 to 10 years. * Best for: Those who want to avoid hormones or need emergency contraception (highly effective if fitted within 5 days of unprotected sex). * Side Effects: Periods may become heavier, longer, or more painful. * Immediate Protection: Works as soon as it is fitted. 2. Hormonal Coil (IUS - Intrauterine System) * How it works: Releases the progestogen hormone, which thickens cervical mucus (blocking sperm) and thins the womb lining. * Duration: Lasts for 3 to 8 years (e.g., Mirena, Kyleena, Levosert, Jaydess). * Best for: Those who have heavy or painful periods (it often makes periods much lighter or stops them entirely). * Side Effects: Irregular bleeding/spotting for the first 3–6 months, potential acne, or breast tenderness. * Protection: Effective immediately if fitted within 7 days of the start of your period.