Lidocaine for Pain Control during Intrauterine Device Insertion: A Randomized Clinical Trial

Abstract

ntrauterine contraceptive device (IUCD) is the most widely used method of reversible fertility regulation in the world. Many cultures have addressed the need for successful fertility regulation by embracing and expanding IUCD. In Cuba, Egypt, and North Korea, IUCD use accounts for more than 50% of contraceptive use. Fear of pain during IUCD insertion is one reason women may not want to use this highly effective birth control method. Pain at insertion of an IUCD can be distressing and may deter women from using the method. Determining an optimal method for reducing pain during IUCD insertion will benefit women and may increase the uptake of IUCDs as a contraceptive method.