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Comment on ‘Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives’: authors’ response
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  1. Luis Bahamondes, MD
  1. Professor of Gynaecology, Department of Obstetrics and Gynaecology, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil; bahamond@caism.unicamp.br
  1. Diana Mansour, FRCOG, FFSRH
  1. Consultant in Community Gynaecology and Reproductive Healthcare, Newcastle Hospitals, Community Health, New Croft Centre, Newcastle upon Tyne, UK
  1. Christian Fiala, MD
  1. Director, Gynmed Clinic, Vienna, Austria and Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
  1. Andrew M Kaunitz, MD
  1. Professor and Associate Chair, Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA
  1. Kristina Gemzell-Danielsson, MD
  1. Professor of Obstetrics and Gynecology and Department Chair, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden

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We thank Dr Pillai for her letter1 about our review article entitled ‘Practical advice of pain associated with insertion of intrauterine contraceptives’.2 We would like to make the following comments regarding the specific points Dr Pillai raised in her letter.

  1. Dr Pillai suggests that clinicians may wish to sit on a stool with wheels at the side of the couch rather than with the woman at the end of the couch. This still means that clinicians need to sit at the side of the …

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