Pain Control for Intrauterine Device Insertion: A Randomized Trial of 1% Lidocaine Paracervical Block
Overview
- Phase
- Not Applicable
- Intervention
- Lidocaine
- Conditions
- Pain Control for Intrauterine Device Insertions
- Sponsor
- Northwestern University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Median Visual Analogue Score Measuring Pain
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
The purpose of this study is to evaluate if a paracervical block containing 1% lidocaine administered prior to IUD insertion reduces insertion pain. The hypothesis is that women receiving paracervical analgesia will experience less pain during IUD insertion than those who do not receive such analgesia.
Investigators
Jessica Kiley
Assistant Professor
Northwestern University
Eligibility Criteria
Inclusion Criteria
- •Women age 18 -50 years
- •A negative urine pregnancy test and clinically unlikely to be pregnant
- •Seeking an intrauterine device for any indication
- •Willing and able to sign an informed consent in English
Exclusion Criteria
- •History of a prior IUD successful insertion
- •Previous failed insertion of an IUD
- •Known copper allergy
- •Known levonorgestrel allergy
- •Known lidocaine allergy
- •Current cervicitis
- •Pelvic Inflammatory Disease (PID) within 3 months
- •Pregnancy within six weeks prior to IUD insertion
- •Uterine anomaly or distortion of the uterine cavity
- •Use of any other pain medication within 6 hours prior to IUD insertion
Arms & Interventions
Paracervical Block
Intervention: Lidocaine
Outcomes
Primary Outcomes
Median Visual Analogue Score Measuring Pain
Time Frame: 1) Speculum placement 2) Tenaculum placement 3) Paracervical block administration(if subject is in this arm) 4) IUD insertion 5) Five minutes post procedure
We asked participants to report their pain score on visual analogue scale (0mm=no pain and 100mm=worse pain possible) at the following time points: 1. Speculum placement 2. Tenaculum placement 3. Paracervical block administration(if subject is in this arm) 4. IUD insertion 5. Five minutes post procedure