Comparison between use of Vulsellum to grasp cervix versus not grasping cervix by any tool on Pain Perception During Intrauterine Device Insertion: A Randomized Controlled Trial

Abstract

ntrauterine contraception is highly effective at preventing pregnancy. This long-acting reversible contraception (LARC) is cost-effective, with high continuation and satisfaction rates and few contraindications to its use. It also has added benefits of either being non-hormonal and as effective as emergency contraception (the copper intrauterine device [IUD]) or can be used to reduce menstrual blood loss and endometrial proliferation (the levonorgestrel-impregnated IUD). Despite these benefits, the last decade has seen little change in the proportion of women using intrauterine contraception, as many eligible women still do not choose this method, perhaps because of their anxiety about pain associated with the insertion procedure.