Contraceptive for DD heading to college

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05/24/2023 12:06

Subject: Contraceptive for DD heading to college

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Anonymous

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Anonymous wrote:IUD insertion IS painful. If you’ve had a kid and recall the cervical checks, it’s like that.

They don’t offer numbing because they don’t know who will experience it as very painful and because the medical system doesn’t care about the pain of women.

But, it’s fast, and having a hormonal IUD isn’t painful. There’s an adjustment period where you may have a lot of spotting, but then periods will be lighter/easier or go away.

It’s definitely what I will recommend to my daughter, having used a few methods.

Many gynecologists do offer numbing, but you have to ask for it.

PSA regardung numbing the cervix for IUD inserts. The reason this is not offered regularly is because it just doesn’t help very much. The part of the insertion that hurts is when IUD passes through the internal cervical canal opening into the uterus. We do not have a way to numb that part of the body. There is a lot of TikTok type messaging out there right now that cervical numbing is not offered because providers don’t care about women’s pain and while this has certainly been a relevant issue in other areas of medical care for a long time I can promise you in the case of IUD insertion it’s not the reason. Best bet for dealing with the pain of insertion is the medication to help with cramping. Numbing the cervix involves sticking a very large needle in to inject lidocaine (which does hurt!) But does not make the actual insertion more comfortable.

There are many ways to offer pain relief. We do sedation for 10 minute dental procedures, there is no reason it can’t be an option, if a patient chooses, for genital procedures. Or even one Xanax or Valium to help with any anxiety.

You are absolutely right and plenty of people do take anxiety meds before insertion which can help. Sedation is another matter entirely. It requires medication and monitoring capacity that many regular offices don’t have ( risk of respiratory depression ). But what I am responding to specifically is the issue of cervical numbing. I insert IUDs as part of my job and I have this conversation all the time. There is an unfortunate belief that it’s not offered regularly because providers don’t care about women’s pain. That is a complicated Issue in healthcare, which deserves serious discussion, but it has nothing to do with why it’s not offered or encouraged for this particular procedure. To be clear I can, and have, done it when a patient has insisted they want it. But I want them to understand that injecting this medication hurts and is not going to accomplish what they are looking for.

Yes. Sedation, as offered for relatively “simple” dental procedures, is another matter and should still be something offered. Someone somewhere said, dang, some people don’t want to be aware of their molar being pulled at all, and a movement occurred to set up resources to make it an option. There is zero reason why it can’t be something set up for people undergoing reproductive procedures. There is a market. There would be people who would pay for it.

You can have an IUD inserted with any level of sedation and anesthesia ( including general) if you are willing to pay for it. This is not the standard of care, but as a consumer driven service it is absolutely accessible. It just needs to be done in a different setting than a regular GYN office, but it happens in hospitals that are set up for it.