Making IUD Insertions More Comfortable: Why Pain Management Matters

Making IUD Insertions More Comfortable: Why Pain Management Matters

 

As a Physician Assistant, one of the most rewarding parts of my job is helping patients make empowered decisions about their reproductive health. Intrauterine devices (IUDs) are one of the most effective, low-maintenance forms of birth control available today. They offer years of protection, can be removed at any time if goals change, and give patients peace of mind without the need for daily medication.

 

But despite their many benefits, one major barrier remains: fear of pain during the insertion process.

 

Listening to Patients’ Concerns

 

Too often, patients share stories of being told to “just take some ibuprofen” before an IUD appointment, only to find the experience far more uncomfortable than they were led to expect. While some people breeze through the procedure with little difficulty, others experience cramping, sharp pain, or even dizziness.

 

Every patient deserves honesty, preparation, and—most importantly—options to minimize discomfort.

 

Lidocaine and Other Comfort Measures

 

Fortunately, there are evidence-based ways we can make this procedure more tolerable. Local anesthesia, such as lidocaine, can be administered in several forms (such as a cervical block or gel) to reduce pain during insertion. Research supports its effectiveness, and in my clinical experience, many patients report a noticeable difference.

 

In addition to lidocaine, other strategies can help, including:

• NSAIDs (ibuprofen or naproxen): Taken beforehand, these help reduce uterine cramping.

• Anxiety-reducing techniques: Simple breathing strategies, supportive coaching, and allowing patients to bring a support person can ease tension. Medication can also be prescribed to help with anxiety during the procedure. 

• Heat packs: Applying gentle heat to the abdomen afterward can relieve lingering cramps.

• Clear communication: Talking patients through each step helps them feel informed and in control.

 

Why This Matters

 

Pain is not something patients should be expected to simply “tolerate” when we have tools to reduce it. Ignoring discomfort can discourage individuals from choosing IUDs, despite their many benefits, and can contribute to distrust in the medical system.

 

As a provider, I see it as my responsibility to advocate for patient comfort—not just successful procedures. When we use lidocaine and other comfort measures, we are respecting our patients’ bodies, their autonomy, and their right to a positive healthcare experience.

 

Preparing for Your Appointment

 

If you’re considering an IUD, know that you have a voice in how the procedure is managed. Don’t hesitate to ask your provider:

• Do you offer lidocaine or numbing medication for IUD insertions?

• What pain management options are available to me?

• How will you support me during the procedure?

 

You deserve not only effective birth control but also compassionate care along the way.

 

Final Thoughts

 

IUDs are an incredible option for many people, but we as healthcare professionals must do better in addressing the pain associated with their insertion. With lidocaine, thoughtful preparation, and a patient-first mindset, this procedure can be far less daunting.

 

Advocating for comfort isn’t just about medicine—it’s about respect. And that’s something every patient deserves! 

Author

Amanda Murphy, PA-C Amanda Murphy, PA-C is a board-certified Physician Assistant at Premier OB-Gyn with offices in Maitland and Oviedo, Florida. Amanda was born and raised in Palm Harbor, Florida. She attended Florida State University and obtained her undergraduate degree in Biochemistry. Amanda’s brother received a life-saving heart and double lung transplant, which shaped Amanda’s goals for her future. She attended the University of Texas Medical Branch and obtained her Master’s degree in Physician Assistant Studies. Amanda was the president of her class and involved in several organizations on campus. Amanda practiced Pulmonary Critical Care for nearly three years where she gained a wealth of knowledge and experience. She always had a passion for Women’s Health and started working in OB/Gyn, and completely fell in love with providing care for women. She enjoys delivering care to women of all ages and stages of life. She and her husband, Brendan, have two beautiful little girls named Abigail and Paige.