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  • Comment on ‘Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives’: authors’ response

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Letters to the editor
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; Diana.Mansour@nuth.nhs.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; christian.fiala@aon.at
  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; andrew.kaunitz@jax.ufl.edu
  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; kristina.gemzell@ki.se

https://doi.org/10.1136/jfprhc-2014-100925

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    There has been much interest in our review article ‘Practical advice of pain associated with insertion of intrauterine contraceptives’1 and we thank Professor Guillebaud for his comments.2

    In relation to the specific points raised by Professor Guillebaud we would like to add our own remarks.

    1. We are aware that some experienced healthcare professionals (HCPs) do not use a tenaculum to stabilise the cervix when fitting intrauterine contraceptives (IUCs) to minimise pain …

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