Federal officials affirmed this month that the pain people might feel when getting an IUD can be more than doctors’ promises of “just a pinch.” The local anesthetic lidocaine “might be useful for reducing patient pain” when inserting intrauterine devices. That's according to new guidance from the U.S.
FILE - Dr. Susan Gorman displays the Skyla IUD, left, and the Mirena IUD, at High Lakes Gynecology in Redmond, Ore., Jan. 14, 2015. Federal officials affirmed this month that the pain people might feel when getting an IUD can be more than doctors’ promises of “just a pinch.”
Some practices offer even stronger choices. After requests from their patients, Planned Parenthood League of Massachusetts added in March sedation options for IUD insertions and certain procedures in which doctors cut out possible cancers. Patients are not fully asleep, but drowsy. “There are a lot of patients with a history of trauma, history of shame,” Prabakar said. “They barely can tolerate a speculum, let alone some of these other procedures.”
“If women have had their pain dismissed forever, since they were little kids having their periods, they’re probably going to be more primed to experience trauma in the health care system,” said Kate Nicholson, executive director of the National Pain Advocacy Center, a nonprofit focused on policy changes.When the guidelines — or gynecologists — fall short, the onus may fall on the patient to speak up.
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