Painful insertions

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Intrauterine devices are becoming increasingly more common in the United States although the birth control method is still not nearly as popular as others like the pill. People love them for a reason. They last a long time and they boast a near-foolproof degree of protection, with some covering you for up to 10 years. What does it feel like, exactly? During an IUD insertion, the pain happens in steps.
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Why does IUD insertion hurt so much? Doctors don't always warn about pain

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Management of pain associated with the insertion of intrauterine contraceptives

Many people report mild cramping after a doctor inserts or removes an intrauterine device IUD. A small percentage of people report significant pain. In addition to the initial pain that can occur immediately after insertion and removal, some people may experience mild cramping that lasts for longer. This cramping can potentially continue for several days or weeks after the procedure.
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What to know about cramping and IUDs

She was so scared of repeating the pain she felt when she had the contraceptive device inserted, she kept putting off the appointment to replace it. She remembers the first insertion in excruciating detail— feeling like her gynecologist "jammed" the IUD through her cervix, and her boyfriend hovering over her face to try and keep her calm while her body quaked on the table. Had Jackson known there was a way to have her IUD replaced without the pain, she wouldn't have put it off—and risked unintended pregnancy—for so long. But how could she have known?
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Most intrauterine contraception IUC placements do not require pain relief. This review critically evaluates the evidence for pain management strategies, formulates evidence-based recommendations and identifies data gaps and areas for further research. A PubMed literature search was undertaken. RCTs were included; further relevant articles were also identified and included as appropriate. Seventeen studies were identified and included: 12 RCTs and one non-randomized study of pre-insertion oral analgesia, cervical priming and local anaesthesia; one systematic review and one RCT on post-insertion analgesia and two non-randomized studies on non-pharmacological interventions.
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