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Letters to the editor
Reducing the pain of IUD insertion: authors’ response
  1. Eppy Sewell, RGN, NMP
  1. Liz Vincent, BMBS, DFSRH
  1. Clinical Nurse Specialist, Contraception, Brookside CASH Clinic, Aylesbury, UK; Eppy.Sewell@buckspct.nhs.uk
  2. Clinical Lead, Brookside CASH Clinic, Aylesbury, UK; elizabeth.vincent@nhs.net

https://doi.org/10.1136/jfprhc-2012-100534

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    We would like to thank Dr Margaret Duncan for her letter1 written in response to our letter2 about ‘Entonox® analgesia for intrauterine device (IUD) insertions and removals’ that appeared in print in the October 2012 issue of this Journal.

    We also use lidocaine gel for some IUD insertions and agree that waiting the full 3 minutes after its use is important for its analgesic, rather than lubricant, effects. However, we also note that using gel when there is a tightly closed internal os can be extremely painful for women. In this case the use of cervical block is far preferable …

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    Footnotes

    • Competing interests None.