Lidocaine for pain control during intrauterine device insertion

• DOI: 10.1111/jog.13308
• Publication Date: 2017-05-15T07:52:39Z
• Authors: Yetkin Karasu; Duygu Kavak Cömert; Burak Karadağ; Yusuf Ergün
• Keywords: Paracervical block; Pain control; Intrauterine device

Abstract Aim The aim of this study was to compare the effects topical lidocaine spray, cream and injection on pain perception during intrauterine device (IUD) insertion. Methods Multiparous women reproductive age were randomized into control, cream, spray groups. A 10 cm visual analog scale used for all patients evaluate three steps IUD insertion procedure. Baseline assessment made immediately after administration analgesics, second performed use tenaculum, third Results Two hundred enrolled in study. groups similar terms demographic characteristics. group exhibited higher baseline scores ( P < 0.001). Pain associated with tenaculum lower group. related 0.001); however, superior reduction = Conclusion Lidocaine is a good option reducing experienced an IUD. It reduces both Spray application easy rapid. Paracervical also insertion, but has no effect tenaculum‐related pain; moreover, itself painful. Therefore, not plausible method