Lidocaine for pain control during intrauterine device insertion

The Journal of Obstetrics and Gynaecology Research
Yetkin KarasuYusuf Ergün

Abstract

The aim of this study was to compare the effects of topical lidocaine spray, cream and injection on pain perception during intrauterine device (IUD) insertion. Multiparous women of reproductive age were randomized into control, lidocaine cream, spray and injection groups. A 10 cm visual analog scale was used for all patients to evaluate pain during the three steps of the IUD insertion procedure. Baseline pain assessment was made immediately after the administration of analgesics, the second pain assessment was performed immediately after use of the tenaculum, and the third pain assessment was performed after IUD insertion. Two hundred patients were enrolled in the study. The groups were similar in terms of demographic characteristics. The lidocaine injection group exhibited higher baseline pain scores (P < 0.001). Pain associated with tenaculum use was lower in the lidocaine spray group. Pain related to IUD insertion was lower in the lidocaine spray and injection groups (P < 0.001); however, lidocaine spray was superior to injection for the reduction of IUD insertion related pain (P = 0.001). Lidocaine spray is a good option for reducing the pain experienced during insertion of an IUD. It reduces pain related to both tenaculum ...Continue Reading

References

Apr 2, 2009·The Journal of Obstetrics and Gynaecology Research·Emre KarasahinIskender Baser
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Rebecca H AllenPaul O'Brien
Aug 1, 2010·Indian Journal of Medical Sciences·S Mohammad-Alizadeh-CharandabiF Kazemi
Oct 3, 2013·The Cochrane Database of Systematic Reviews·Thumwadee TangsiriwatthanaMalinee Laopaiboon
Oct 19, 2013·Contraception·Karla MaguireAnne Davis
May 16, 2014·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Vasileios PergialiotisGeorgios D Vlachos
Mar 12, 2015·The Journal of Family Planning and Reproductive Health Care·Hüseyin AksoyMustafa Babayigit
May 8, 2015·Global Journal of Health Science·Samira TavakolianMaryam Ghorbani
Jun 2, 2015·Advances in Wound Care·Roberto CuomoCesare Brandi
Oct 17, 2015·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·H AksoyT Aydin

❮ Previous
Next ❯

Citations

May 25, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Faustino R Perez-LopezAdrian V Hernandez
Nov 2, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Therese ForanVivienne O'Connor
Jun 18, 2019·The Cochrane Database of Systematic Reviews·Marike LemmersJames P Neilson
May 22, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Kristina Gemzell-DanielssonLuis Bahamondes
Nov 25, 2017·The Journal of Obstetrics and Gynaecology Research·Ahmed M Abbas
Feb 5, 2021·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Ahmed M AbbasMohammed K Ali
Mar 15, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Narges HeshmatifarSedighe Rastaghi
May 13, 2019·Journal of Gynecology Obstetrics and Human Reproduction·Djazia Rahou AissatCéline Chauleur

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved