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Comparative Efficacy of Lidocaine Spray Versus Vaginal Misoprostol in IUD Insertion

Comparative Efficacy of Lidocaine Spray Versus Vaginal Misoprostol in Reducing Pain During IUD Insertion in Adolescents and Nulliparous Women: a Randomized Controlled Trial

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04339049
Enrollment
147
Registered
2020-04-08
Start date
2020-05-01
Completion date
2021-07-30
Last updated
2021-12-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Contraception

Brief summary

the aim of the present study is to compare the safety and efficacy of lidocaine spray versus misoprostol in reducing pain during IUD insertion in adolescents and nulliparous women

Interventions

four puffs (10 mg/puff) of lidocaine spray before tenaculum placement plus vaginal placebo 3 hours before IUD insertion

DRUGvaginal misoprostol

vaginal misoprostol 200 mcg given 3 hours before IUD insertion plus four puffs of saline spray before tenaculum placement

DRUGplacebo

vaginal placebo given 3 hours before IUD insertion plus four puffs of saline spray before tenaculum placement

Sponsors

Algazeerah hospital
CollaboratorUNKNOWN
Cairo University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Healthy volunteers
Yes

Inclusion criteria

* adolescent and young nulliparous women requesting IUD insertion

Exclusion criteria

* multiparous women, contraindications to IUD insertion or to study drugs

Design outcomes

Primary

MeasureTime frameDescription
pain during IUD insertion5 minutespain during IUD insertion evaluated by visual analog scale where 0 denotes no pain and 10 cm denotes the worst pain imaginable

Secondary

MeasureTime frameDescription
duration of IUD insertion5 minutesduration of IUD insertion from speculum in to speculum out

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026