Cervical Lidocaine for Intrauterine Device Insertion Pain
| Status: | Completed |
|---|---|
| Conditions: | Chronic Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - 45 |
| Updated: | 4/17/2018 |
| Start Date: | August 2011 |
| End Date: | December 2011 |
Randomized Controlled Trial of Cervical Lidocaine for Intrauterine Device Insertion Pain
The aim of this study is to evaluate intracervical lidocaine gel as a means to decrease pain
associated with intrauterine device (IUD) insertion. They will be randomized to either
placebo (inert water based lubricating gel) or 2% lidocaine gel to be placed intracervically
via angio-catheter just before intrauterine device insertion. Anticipated pain scores will be
assessed using a visual analog scale prior to insertion. Using the same pain scale, patients
will again be asked at the end of the procedure to rate their pain.
associated with intrauterine device (IUD) insertion. They will be randomized to either
placebo (inert water based lubricating gel) or 2% lidocaine gel to be placed intracervically
via angio-catheter just before intrauterine device insertion. Anticipated pain scores will be
assessed using a visual analog scale prior to insertion. Using the same pain scale, patients
will again be asked at the end of the procedure to rate their pain.
Double blind randomized controlled trial.
Primary outcome: Pain reported on Visual Analog Scale (VAS) Intervention: 2% lidocaine gel at
the tenaculum site and intracervical prior to intrauterine device placement
Primary outcome: Pain reported on Visual Analog Scale (VAS) Intervention: 2% lidocaine gel at
the tenaculum site and intracervical prior to intrauterine device placement
Inclusion Criteria:
- age 18-45 yrs
- selecting intrauterine device contraception
- able and willing to consent
Exclusion Criteria:
- non-English speaking
- current intrauterine device use
- expulsion of intrauterine device within 2 weeks
- allergy to lidocaine or water based lubricant
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