

IUD Pain Is Real: What ACOG and CDC Just Changed—and Why It Matters
What Every Patient and Clinician Should Know About the 2025 Guidelines for IUD Insertion Pain Management
For years, patients have reported severe pain during IUD insertions—only to be told it's "just a pinch." Now, the American College of Obstetricians and Gynecologists (ACOG) and the Centers for Disease Control and Prevention (CDC) have issued updated guidance that changes everything.
This episode breaks down what’s in the new guidelines, why it matters, and what’s still standing in the way of better care.
What We Cover in This Episode
- What ACOG and CDC now recommend for IUD pain relief
- Why misoprostol is no longer a routine option
- How reimbursement challenges affect what happens in the exam room
- What to do if your provider isn’t aware of the new guidelines
- The role of trauma-informed and shared decision-making models
- Why this shift is critical for women’s health equity and trust
Related Resources
- ACOG Clinical Consensus on Pain Management (May 2025)
- CDC U.S. SPR Update (Aug 2024)
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