Pain Relief
Conditions
Brief summary
IUD can cause pain and discomfort in several ways: Use of the tenaculum to grasp the cervix and straighten the uterus for proper insertion; trans-cervical actions including measuring uterine depth, inserting the IUD insertion tube, and removing the tube; and placement of the device in the uterus.
Detailed description
To minimize the discomfort and the hazards of an IUD insertion, several measures have been proposed including NSAIDs, anxiolytics, and local anesthetics in the form of intracervical gel, cervical and para-cervical block, but there have not done enough studies about their effectiveness. According to the review published in the Cochrane, non-steroidal anti-inflammatory drugs and misoprostol are not effective on reducing an IUD insertion pain.
Interventions
DRUGKetoprofen
oral non-steroidal antiinflammatory drug
DRUGplacebo
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Women not taken analgesics or anxiolytics in the 24 hours prior insertion * Women not taken misoprostol prior to insertion * No contraindication to Non-steroidal drugs * Women who will accept to participate in the study
Exclusion criteria
* Any contraindication to device placement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean pain score during IUD insertion | 5 minutes |
Countries
Egypt
Outcome results
None listed