In this podcast episode, gynaecology clinicians share their views on how to address anxiety and pain around IUD placement, highlighting the importance of a pre-placement conversation and explaining how to approach commonly asked questions. They go on to discuss:
- Misconceptions around IUDs and their placement
- How to address specific concerns to reassure patients
- Pain relief techniques
- Analgesia and anaesthesia options in Europe and the US
Looking for more information and advice on how to support your patients during IUD placement?
Get your pain management toolbox in this video, downloadable slides and summary flashcard: Pain Management in IUD Placement.
Engage patients in open discussions to elicit their concerns and address those concerns by providing relevant information and offering strategies to improve the patient experience
Provide anticipatory guidance to patients about the possibility of fainting during IUD placement so they know to use muscle contractions if they feel prodromal signs like dizziness or nausea that indicate a vasovagal reaction. Advise patients to remain lying down briefly after placement
Use a patient-centered approach by prioritising comfort and ensuring the patient remains in control throughout the entire IUD placement procedure
Offer analgesics and cervical blocks, use a small speculum, consider innovative devices such as the suction cervical stabilizer, provide anticipatory guidance, and perform each step of the placement procedure intentionally, slowly & gently to minimize pain and anxiety
Share information about changes in bleeding patterns and the need for regular follow-up.