Practical Recommendations for Minimizing Pain and Anxiety with IUD Insertion

References

1. 1.↵
   1. Winner B,
   2. Peipert JF,
   3. Zhao Q,
   4. et al

   . Effectiveness of long-acting reversible contraception. N Engl J Med 2012;366:1998–2007.

   OpenUrlCrossRefPubMedWeb of Science
2. 2.↵
   1. Brown SS,
   2. Eisenberg L

   Institute of Medicine (US) Committee on Unintended Pregnancy, Brown SS, Eisenberg L, eds. The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families. Washington (DC): National Academies Press (US); 1995.
3. 3.↵
   1. Rader B,
   2. Upadhyay UD,
   3. Sehgal NKR,
   4. Reis BY,
   5. Brownstein JS,
   6. Hswen Y

   . Estimated travel time and spatial access to abortion facilities in the US before and after the Dobbs v Jackson women's health decision. JAMA 2022;328:2041–7.

   OpenUrlCrossRefPubMed
4. 4.↵
   1. Trussell J

   . Contraceptive failure in the United States. Contraception 2011;83:397–404.

   OpenUrlCrossRefPubMedWeb of Science
5. 5.↵
   1. Britton LE,
   2. Alspaugh A,
   3. Greene MZ,
   4. McLemore MR

   . CE: an evidence-based update on contraception. Am J Nurs 2020;120:22–33.

   OpenUrl
6. 6.↵
   1. Trussell J

   . Update on and correction to the cost-effectiveness of contraceptives in the United States. Contraception 2012;85:611.

   OpenUrlPubMed
7. 7.↵
   1. Bahamondes L,
   2. Mansour D,
   3. Fiala C,
   4. Kaunitz AM,
   5. Gemzell-Danielsson K

   . Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives. J Fam Plann Reprod Health Care 2014;40:54–60.

   OpenUrlAbstract/FREE Full Text
8. 8.↵
   1. Gemzell-Danielsson K,
   2. Jensen JT,
   3. Monteiro I,
   4. et al

   . Interventions for the prevention of pain associated with the placement of intrauterine contraceptives: an updated review. Acta Obstet Gynecol Scand 2019;98:1500–13.

   OpenUrlCrossRefPubMed
9. 9.↵
   1. Akdemir Y,
   2. Karadeniz M

   . The relationship between pain at IUD insertion and negative perceptions, anxiety and previous mode of delivery. Eur J Contracept Reprod Health Care 2019;24:240–5.

   OpenUrlPubMed
10. 10.↵
    1. Schwartz BI,
    2. Bear B,
    3. Short VL,
    4. Kazak AE

    . Outcomes of menstrual management use in transgender and gender-diverse adolescents. Obstet Gynecol 2023;141:748–55.

    OpenUrlPubMed
11. 11.↵
    1. Ebell MH,
    2. Siwek J,
    3. Weiss BD,
    4. et al

    . Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician 2004;69:548–56.

    OpenUrlPubMedWeb of Science
12. 12.↵
    1. Lopez LM,
    2. Bernholc A,
    3. Zeng Y,
    4. et al

    . Interventions for pain with intrauterine device insertion. Cochrane Database Syst Rev 2015;2015:CD007373.

    OpenUrlPubMed
13. 13.↵
    1. Karabayirli S,
    2. Ayrim AA,
    3. Muslu B

    . Comparison of the analgesic effects of oral tramadol and naproxen sodium on pain relief during IUD insertion. J Minim Invasive Gynecol 2012;19:581–4.

    OpenUrlCrossRefPubMed
14. 14.↵
    1. Edgren RA,
    2. Morton CJ

    . Naproxen sodium for OB/GYN use, with special reference to pain states: a review. Int J Fertil 1986;31:135–42.

    OpenUrlPubMed
15. 15.↵
    1. Ngo LL,
    2. Braaten KP,
    3. Eichen E,
    4. Fortin J,
    5. Maurer R,
    6. Goldberg AB

    . Naproxen sodium for pain control with intrauterine device insertion: a randomized controlled trial. Obstet Gynecol 2016;128:1306–13.

    OpenUrlPubMed
16. 16.↵
    1. Nguyen L,
    2. Lamarche L,
    3. Lennox R,
    4. et al

    . Strategies to mitigate anxiety and pain in intrauterine device insertion: a systematic review. J Obstet Gynaecol Can 2020;42:1138–46.e2.

    OpenUrlCrossRefPubMed
17. 17.↵
    1. Abbas AM,
    2. Abdellah MS,
    3. Khalaf M,
    4. et al

    . Effect of cervical lidocaine-prilocaine cream on pain perception during copper T380A intrauterine device insertion among parous women: a randomized double-blind controlled trial. Contraception 2017;95:251–6.

    OpenUrlPubMed
18. 18.↵
    1. Aksoy H,
    2. Aksoy Ü,
    3. Ozyurt S,
    4. Açmaz G,
    5. Babayigit M

    . Lidocaine 10% spray to the cervix reduces pain during intrauterine device insertion: a double-blind randomized controlled trial. J Fam Plann Reprod Health Care 2016;42:83–7.

    OpenUrlAbstract/FREE Full Text
19. 19.↵
    1. Tavakolian S,
    2. Doulabi MA,
    3. Baghban AA,
    4. Mortazavi A,
    5. Ghorbani M

    . Lidocaine-prilocaine cream as analgesia for IUD insertion: a prospective, randomized, controlled, triple blinded study. Glob J Health Sci 2015;7:399–404.

    OpenUrlPubMed
20. 20.↵
    1. Mody SK,
    2. Farala JP,
    3. Jimenez B,
    4. Nishikawa M,
    5. Ngo LL

    . Paracervical block for intrauterine device placement among nulliparous women: a randomized controlled trial. Obstet Gynecol 2018;132:575–82.

    OpenUrlCrossRefPubMed
21. 21.↵
    1. Akers AY,
    2. Steinway C,
    3. Sonalkar S,
    4. et al

    . Reducing pain during intrauterine device insertion: a randomized controlled trial in adolescents and young women. Obstet Gynecol 2017;130:795–802.

    OpenUrlCrossRefPubMed
22. 22.↵
    1. Fouda UM,
    2. Salah Eldin NM,
    3. Elsetohy KA,
    4. Tolba HA,
    5. Shaban MM,
    6. Sobh SM

    . Diclofenac plus lidocaine gel for pain relief during intrauterine device insertion. A randomized, double-blinded, placebo-controlled study. Contraception 2016;93:513–8.

    OpenUrlPubMed
23. 23.↵
    1. Rapkin RB,
    2. Achilles SL,
    3. Schwarz EB,
    4. et al

    . Self-administered lidocaine gel for intrauterine device insertion in nulliparous women: a randomized controlled trial. Obstet Gynecol 2016;128:621–8.

    OpenUrlPubMed
24. 24.↵
    1. Tornblom-Paulander S,
    2. Tingåker BK,
    3. Werner A,
    4. et al

    . Novel topical formulation of lidocaine provides significant pain relief for intrauterine device insertion: pharmacokinetic evaluation and randomized placebo-controlled trial. Fertil Steril 2015;103:422–7.

    OpenUrlPubMed
25. 25.↵
    1. Waddington A,
    2. Reid R

    . More harm than good: the lack of evidence for administering misoprostol prior to IUD insertion. J Obstet Gynaecol Can 2012;34:1177–9.

    OpenUrlPubMed
26. 26.↵
    1. Abu-Zaid A,
    2. Alshahrani MS,
    3. Albezrah NA,
    4. et al

    . Vaginal dinoprostone versus placebo for pain relief during intrauterine device insertion: a systematic review and meta-analysis of randomised controlled trials. Eur J Contracept Reprod Health Care 2021;26:357–66.

    OpenUrlPubMed
27. 27.↵
    1. Newton JR,
    2. Reading AE

    . The effects of psychological preparation on pain at intrauterine device insertion. Contraception 1977;16:523–32.

    OpenUrlCrossRefPubMedWeb of Science
28. 28.↵
    1. McCarthy C

    . Intrauterine contraception insertion pain: nursing interventions to improve patient experience. J Clin Nurs 2018;27:9–21.

    OpenUrlPubMed
29. 29.↵
    1. Shahnazi M,
    2. Nikjoo R,
    3. Yavarikia P,
    4. Mohammad-Alizadeh-Charandabi S

    . Inhaled lavender effect on anxiety and pain caused from intrauterine device insertion. J Caring Sci 2012;1:255–61.

    OpenUrlPubMed
30. 30.↵
    1. Jones T,
    2. Purdy M,
    3. Stewart EA,
    4. et al

    . Lavender aromatherapy to reduce anxiety during intrauterine insemination: a randomized controlled trial. Glob Adv Health Med 2021;10:21649561211059074.

    OpenUrlPubMed
31. 31.↵
    1. Angioli R,
    2. De Cicco Nardone C,
    3. Plotti F,
    4. et al

    . Use of music to reduce anxiety during office hysteroscopy: prospective randomized trial. J Minim Invasive Gynecol 2014;21:454–9.

    OpenUrlPubMed
32. 32.↵
    1. Galaal K,
    2. Bryant A,
    3. Deane KHO,
    4. Al-Kha- Duri M,
    5. Lopes AD

    . Interventions for reducing anxiety in women undergoing colposcopy. Cochrane Database Syst Rev 2011;2011:CD006013.

    OpenUrlPubMed
33. 33.↵
    1. Chan YM,
    2. Lee PW,
    3. Ng TY,
    4. Ngan HY,
    5. Wong LC

    . The use of music to reduce anxiety for patients undergoing colposcopy: a randomized trial. Gynecol Oncol 2003;91:213–7.

    OpenUrlCrossRefPubMed
34. 34.↵
    1. Akintomide H,
    2. Doshi J,
    3. Power J,
    4. Wilkinson C

    . Television: a way of distracting patients during sexual and reproductive healthcare procedures. J Fam Plann Reprod Health Care 2016;42:220–1.

    OpenUrlFREE Full Text
35. 35.↵
    1. Daykan Y,
    2. Battino S,
    3. Arbib N,
    4. et al

    . Verbal analgesia is as good as oral tramadol prior to intrauterine device (IUD) insertion, among nulliparous women: a randomized controlled trial. Eur J Obstet Gynecol Reprod Biol 2021;258:443–6.

    OpenUrlPubMed
36. 36.↵
    1. Gemzell-Danielsson K,
    2. Mansour D,
    3. Fiala C,
    4. Kaunitz AM,
    5. Bahamondes L

    . Management of pain associated with the insertion of intrauterine contraceptives. Hum Reprod Update 2013;19:419–27.

    OpenUrlCrossRefPubMedWeb of Science
37. 37.↵
    1. Guillebaud J

    . (2004) Contraception: Your Questions Answered, 4th edn. Churchill Livingstone, Edinburgh.
38. 38.↵
    1. Cimsir MT,
    2. Yildiz MS

    . Could the Valsalva manoeuvre be an alternative to the tenaculum for intrauterine device insertion? Eur J Contracept Reprod Health Care 2021;26:503–6.

    OpenUrlPubMed
39. 39.↵
    1. Narin R,
    2. Uysal G,
    3. Baş S,
    4. Narin MA,
    5. Küçükbingöz EG

    . Is Valsalva maneuver an alternative to use tenaculum for endometrial sampling procedure in cases where the cervix cannot be passed spontaneously with pipelle? A randomized study. J Obstet Gynaecol Res 2021;47:529–32.

    OpenUrlPubMed
40. 40.↵
    1. Schneyer R,
    2. Lerma K,
    3. Conti J,
    4. Shaw K

    . Dysmenorrhoea as a risk factor for pain with intrauterine device insertion. BMJ Sex Reprod Health 2022;48:e31–e37.

    OpenUrlAbstract/FREE Full Text
41. 41.
    1. Johnson BA

    . Insertion and removal of intrauterine devices. Am Fam Physician 2005;71:95–102.

    OpenUrlPubMed