Dr. Chapa’s Clinical Pearls.

The Remedy for Painful IUD Insertion?

10 snips
May 28, 2024
Exploring innovative pain relief techniques for IUD insertion, including the use of viscous lidocaine and new FDA-approved devices. Discussing a Swedish study on pain relief methods for Noliparous Women. Exploring strategies like ultrasound guidance and Mapevicane for reducing discomfort during IUD placement.
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ADVICE

Use Lidocaine for IUD Pain

  • Use viscous lidocaine to coat the cervix, cervical canal, and IUD device during insertion.
  • This technique reduces pain and improves patient comfort significantly.
ANECDOTE

Patient Surprised by Painless IUD

  • A patient, prepared for a painful IUD insertion from social media, was pleasantly surprised by her painless experience.
  • This shows that proper technique and local anesthetic use can change patient perceptions positively.
INSIGHT

Caravix vs Lidocaine for Cervical Pain

  • Caravix is a vacuum-based handheld device alternative to a tenaculum for cervical stabilization during IUD insertion.
  • Despite its innovation, lidocaine remains a cheaper, versatile, and effective option for managing insertion pain.
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