Lidocaine Nerve Block Reduces Pain During IUD Insertion

Share this content:
Lidocaine Nerve Block Reduces Pain During IUD Insertion
Lidocaine Nerve Block Reduces Pain During IUD Insertion

MONDAY, Sept. 11, 2017 (HealthDay News) -- A 10-mL 1 percent lidocaine paracervical nerve block reduces pain during intrauterine device (IUD) insertion, according to a study published online Sept. 5 in Obstetrics & Gynecology.

Aletha Y. Akers, M.D., M.P.H., from Children's Hospital of Philadelphia, and colleagues randomized 95 adolescents and young women (ages 14 to 22) receiving a 13.5-mg levonorgestrel IUD to either a 10-mL 1 percent lidocaine paracervical block or a sham block (1 cm depression of the vaginal epithelium at paracervical block sites with a wooden cotton-tipped applicator).

The researchers found that 79 percent of the study participants previously used contraception. After IUD insertion, the median visual analog scale score was significantly lower in the lidocaine block group compared with the sham block group (30 versus 71.5).

"The 1 percent paracervical nerve block may be useful for reducing patient-reported pain during IUD insertion, but its use must be balanced with a careful consideration of the risks associated with this nerve blockade," conclude the authors.

Several authors report financial ties to the pharmaceutical industry, and one author trains health care providers to insert the Nexplanon contraceptive device as a consultant for Merck. Bayer Healthcare Inc. provided funding for the study.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions


Sign up for myCME e-newsletters


More in Home

Structural Findings of Acute Solar Retinopathy Described

Structural Findings of Acute Solar Retinopathy Described

Patient in case study presented three days after viewing solar eclipse

Telomere Fusions Predict Dysplasia, Invasive Pancreatic CA

Telomere Fusions Predict Dysplasia, Invasive Pancreatic CA

Telomere fusions are detected in later stages of intraductal papillary mucinous neoplasm progression

Prenatal Sugar Intake May Increase Asthma Risk in Offspring

Prenatal Sugar Intake May Increase Asthma Risk in ...

Higher intake during pregnancy, in early childhood associated with childhood asthma development

is free, fast, and customized just for you!

Already a member?

Sign In Now »