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Intracervical LA is easy to do, easy to teach and can make a very significant difference to both the procedure and the patient experience. While it may not be necessary for all, my contention is that it is a technique that should be both available and offered to all women contemplating an IUD fitting. I would agree with Ann Eady2 that this can be available to nurse fitters just as to doctors.
I remain uncomfortable with the ethics of not being prepared or able to offer an option that will reduce pain if this can be anticipated. I propose that LA should become an integral element to the practical aspect of training. I do however feel that the e-SRH module 18 pertaining to this needs some modification and would ask that this be considered.
Competing interests None
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