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Lidocaine 10% spray to the cervix reduces pain during intrauterine device insertion: a double-blind randomised controlled trial
  1. Hüseyin Aksoy1,
  2. Ülkü Aksoy2,
  3. Sezin Ozyurt3,
  4. Gökhan Açmaz4,
  5. Mustafa Babayigit5
  1. 1Medical Doctor, Department of Obstetrics and Gynecology, Kayseri Military Hospital, Kayseri, Turkey
  2. 2Medical Doctor, Department of Obstetrics and Gynecology, Kayseri Education and Research Hospital, Kayseri, Turkey
  3. 3Medical Doctor, Department of Obstetrics and Gynecology, Kayseri Education and Research Hospital, Kayseri, Turkey
  4. 4Medical Doctor, Department of Obstetrics and Gynecology, Kayseri Education and Research Hospital, Kayseri, Turkey
  5. 5Medical Doctor, Department of Public Health, Gulhane Military Medical Academy, Ankara, Turkey
  1. Correspondence to Dr Sezin Ozyurt, Department of Obstetrics and Gynecology, Kayseri Education and Research Hospital, Kayseri 38010, Turkey; sezinsaygi{at}gmail.com

Abstract

Objective Fear of pain during intrauterine device (IUD) insertion can be a barrier to widespread use of this safe and highly effective contraceptive method. Our objective was to determine the effectiveness of topical 10% lidocaine spray for pain control during IUD insertion.

Methods A total of 200 subjects with the request for IUD insertion were included in the study. The patients were randomly divided into two groups: lidocaine spray (n=100) and placebo (n=100). The pain experienced during the procedure was measured immediately after insertion by a standard Visual Analogue Scale (VAS) administered by a separate researcher with maintenance of allocation concealment.

Results The mean pain score during the procedure was 1.01±1.20 in the lidocaine spray group and 3.23±1.60 in the placebo spray group (p<0.001). Lidocaine spray treatment significantly lowered the overall procedural pain score compared with placebo.

Conclusions Significant pain reduction during IUD insertion can be achieved by using 10% lidocaine spray alone. Lidocaine spray can be accepted as a non-invasive, easy to apply and more comfortable local anaesthetic method for IUD insertion.

Trial registration number NCT02020551.

  • intrauterine devices
  • pain relief
  • lidocaine
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