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Lidocaine 10% spray to the cervix reduces pain during intrauterine device insertion: a double-blind randomised controlled trial. | LitMetric

Lidocaine 10% spray to the cervix reduces pain during intrauterine device insertion: a double-blind randomised controlled trial.

J Fam Plann Reprod Health Care

Medical Doctor, Department of Public Health, Gulhane Military Medical Academy, Ankara, Turkey.

Published: April 2016

AI Article Synopsis

  • - The study aimed to evaluate how effective 10% lidocaine spray is in reducing pain during IUD insertion, addressing fears that can hinder its use as contraception.
  • - Involved 200 female subjects randomly split into two groups: one received the lidocaine spray and the other a placebo, with pain measured through a Visual Analogue Scale immediately post-insertion.
  • - Results showed the lidocaine group reported significantly lower pain scores (1.01) compared to the placebo group (3.23), suggesting that lidocaine spray is a practical and effective method for pain management during IUD insertion.

Article 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.

Download full-text PDF

Source
http://dx.doi.org/10.1136/jfprhc-2014-100917DOI Listing

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