Strategies for reducing the pain of IUD insertions and removals
When choosing a provider for your IUD insertion or removal, experience matters.
Providers who perform these procedures regularly—like the thousands we complete each year at our clinic—develop the skills and expertise needed to ensure a more comfortable experience.
While many providers are capable, we recommend seeking one with significant experience to achieve the best possible care
Intrauterine devices (IUDs) are a highly effective form of reversible contraception preferred by many.
The experience of IUD insertion or removal varies greatly among individuals, ranging from mild discomfort to significant pain.
Accordingly, the Vancouver Island Women’s Clinic has some strategies and tools we can use to make your experience as comfortable as possible.
Your provider will discuss your options for pain control with you before your in-clinic appointment to come up with a customized plan that works for you.
In Podcast Form
We think this podcast was pretty great.
Globe and Mail’s “The Decibel”: Viral videos on IUD pain spur new medical guidance.
Listen on:
Planning your procedure
Before your in-clinic appointment, you’ll likely have a phone call with your physician.
You’ll have a chance to chat about any past experiences you’ve had with an IUD, any concerns you have, and come up with a customized insertion plan that works for you.
You’re in control: we want you to have all of the information you need to make the most informed decision you can.
During the procedure, the physician can proceed as slowly or as quickly as you’d like.
Some patients want the physician to describe every step and check in frequently, and others are happy for the physician to just proceed quickly.
The choice is yours. In all cases we’re sure to check in and make sure you are comfortable with the process as it unfolds.
Some Options to Consider
-
Oral Analgesics
Oral analgesics, such as ibuprofen or acetaminophen, are commonly recommended to manage pain associated with IUD insertion and removal. These medications are effective in reducing general discomfort and inflammation.
Taking an oral analgesic about an hour before the procedure can help minimize cramping and pain during and after the insertion or removal.
-
Cervical Block (Freezing with Lidocaine)
A cervical block involves injecting a local anesthetic, such as lidocaine, directly into the cervix. This method effectively numbs the cervix, and can significantly reduce pain during the IUD insertion or removal.
-
Benzocaine Spray on the Cervix
For those who prefer a non-invasive option, Benzocaine spray can be applied directly to the cervix. This topical anesthetic provides a temporary numbing effect, easing discomfort during the procedure.
While it is less invasive than an injection, it may not offer the same depth of numbness as the cervical block but is an excellent option for those with needle anxiety.
We use a product called "HurriCaine" which is a 20% Bensocaine spray.
-
Inhaled Anesthetic Gas (Penthrox)
Methoxyflurane, an inhaled anesthetic, offers a quick and effective way to manage both pain and anxiety during IUD procedures. This gas is administered through a hand-held, single-use inhaler, allowing patients to self-administer and control their dosage.
Methoxyflurane works rapidly to relieve pain while also providing a calming effect, which can make the procedure more tolerable.
Penthrox is available upon request and may require additional appointment time. Please inform us during booking if this is something you are interested in.
-
Oral Benzodiazepine (Ativan)
Oral Ativan (lorazepam) is a benzodiazepine that can be taken prior to the procedure to alleviate anxiety. While it does not directly relieve pain, reducing anxiety can help patients manage discomfort better. Ativan is particularly useful for patients who experience significant nervousness about the procedure.