Effect of Multimodal Analgesia on Pain With Insertion of Levonorgestrel-releasing IUD
| Status: | Recruiting |
|---|---|
| Conditions: | Contraception, Contraception |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 12/30/2018 |
| Start Date: | July 2016 |
| End Date: | May 2019 |
| Contact: | Ganga Devaiah, MS |
| Email: | ganga_devaiah@trihealth.com |
| Phone: | 513-862-2341 |
Double-blind, Randomized, Placebo-controlled Study on the Effect of Multimodal Analgesia on Pain With Insertion of Levonorgestrel-releasing Intrauterine System
Does the addition of cervical lidocaine injections and valium to the current practice result
in decreased reported pain with tenaculum placement, IUD insertion, and post procedural
discomfort? The current practice is ibuprofen alone or no medication.
in decreased reported pain with tenaculum placement, IUD insertion, and post procedural
discomfort? The current practice is ibuprofen alone or no medication.
Long acting reversible contraception, including intrauterine devices (IUDs), provide birth
control for an extended period of time. IUDs are the most effective type of reversible birth
control for women who do not wish to become pregnant over the next couple years, have the
lowest failure rate (Winner, 2012), and in 2007, were used by more than 180 million women
worldwide (Darney, 2010). Despite the high efficacy and low rates of side effects, women may
decline placement of an IUD due to fear of pain associated with placement. IUDs may act as a
barrier to women selecting this method of contraception. Currently there is no consensus in
the literature as to the most effective way to address analgesia surrounding IUD insertion.
In order to eliminate barriers to selecting the IUD for contraception, improve the experience
of women undergoing placement, and standardize local practices, investigators want to
investigate analgesic options affecting patients' perception of pain during the various steps
of IUD insertion.
control for an extended period of time. IUDs are the most effective type of reversible birth
control for women who do not wish to become pregnant over the next couple years, have the
lowest failure rate (Winner, 2012), and in 2007, were used by more than 180 million women
worldwide (Darney, 2010). Despite the high efficacy and low rates of side effects, women may
decline placement of an IUD due to fear of pain associated with placement. IUDs may act as a
barrier to women selecting this method of contraception. Currently there is no consensus in
the literature as to the most effective way to address analgesia surrounding IUD insertion.
In order to eliminate barriers to selecting the IUD for contraception, improve the experience
of women undergoing placement, and standardize local practices, investigators want to
investigate analgesic options affecting patients' perception of pain during the various steps
of IUD insertion.
Inclusion Criteria:
- Over 18 years of age,
- Desires to undergo placement of a levonorgestrel containing intrauterine device
Exclusion Criteria:
- Device manufacturer contraindications such as signs of genital infection, positive
urine pregnancy test, abnormal vaginal bleeding, abnormal sized uterus that sounds
<6cm or >10cm, and all other contraindications to placement of a levonorgestrel
containing IUD.
- Patients with a history of drug abuse.
- History of a prior IUD
- Current use of medications for anxiety
- Also, a diagnosis of chronic pain.
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