I have been taking birth control since I was 14 years old. Initially, I started using the pill to manage my hormonal acne, a common issue for many teenagers, and I never stopped. Over the course of 14 years, not only did the pill help clear my skin, but it also alleviated my PMS symptoms. However, this year, I experienced increasingly painful periods. When I consulted my doctor, she suggested switching to an intrauterine device (IUD) as a potential solution to reduce my new pain. Despite feeling apprehensive about having a plastic, T-shaped device placed in my uterus, which is about the size of a quarter, I decided to proceed after hearing positive experiences from friends, especially with sedation being an option.
The benefits of IUDs are hard to overlook. Unlike birth control pills which require daily intake, an IUD can be inserted and left to do its job effectively. IUDs are 99 percent effective at preventing pregnancy and may reduce menstrual bleeding or stop periods altogether, making them beneficial for individuals dealing with conditions like endometriosis.
Although many OB/GYNs offer IUD insertion under sedation, this option is not always advertised due to various reasons like cost, insurance coverage, or lack of resources. Despite advancements in reproductive care, the medical community has historically underestimated women’s pain, particularly for women of color. However, sedation is becoming more accessible, even at local health clinics. If you are considering getting an IUD but are hesitant due to anticipated pain and anxiety, you can advocate for sedation. Here’s how I navigated the process and tips for others.
During a typical IUD insertion, your OB/GYN will use a speculum to hold the vagina open and insert the device through the cervix into the uterus. While some cramping may occur post-insertion, the level of pain experienced differs among individuals. It is advisable to take pain relievers before the appointment. Pain during insertion varies widely, with some patients experiencing more discomfort than others.
Various pain management options are available for IUD insertion, including over-the-counter pain relievers and lidocaine numbing gel. While the efficacy of these methods is mixed, a local anesthetic like lidocaine paracervical block may help numb the area around the cervix, providing pain relief. IV sedation is another option gaining popularity for IUD insertion, especially for individuals with pain sensitivity or past trauma.
My experience getting an IUD under sedation was positive. I scheduled an appointment with a provider that offered this option, followed the pre-appointment instructions, and felt adequately informed about the process by my doctor and anesthesiologist. The sedation made the procedure feel like a nap, and I recovered quickly with minimal discomfort. If you are considering an IUD and feel anxious about pain, advocating for sedation can provide a more comfortable experience. It’s essential to communicate your preferences with your healthcare provider and explore available pain management options.
