Intrauterine devices (IUDs) are contraceptive methods of long-acting (from 3 to 10 years depending on the model) and among the most effective. However, there are many obstacles to the use of IUDs including pain felt by patients during installation. Several medical means were studied without evidence of their efficacy in pain related to IUD insertion. In order to remove this brake, it's important to find another way to act against this pain. The direct technique is one of the techniques described by health professionals. It seems trusted by its users as a more reliable technique but also less painful for patients. However, there is no study available on its evaluation. The aim of this study is to investigate the interest of the direct technique in reducing the pain experienced by patients during installation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
60
copper IUD or levonogestrel IUD insert by the conventional technique or by direct technique
CHU Saint-Etienne
Saint-Etienne, France
Pain measured by Verbal Numeric Scale
Pain is score by Verbal Numeric Scale : 0-10 (0 = no pain; 10= pain as bad as can be)
Time frame: intraoperative
Number of failure laying direct technique
Time frame: intraoperative
Number of vagal discomfort
Time frame: intraoperative
Number of expulsion of the IUD
Time frame: intraoperative
Number of IUD-fond uterine distance >2 cm
Time frame: intraoperative
Number of expulsion of IUD
Time frame: up to 7 days
Number of emergency department visit for a IUD complication
Time frame: up to 7 days
Number of analgesic intake
Time frame: up to 7 days post-insertion
Pain measured by Verbal Numeric Scale
Pain is score by Verbal Numeric Scale : 0-10 (0 = no pain; 10= pain as bad as can be)
Time frame: day 1
Pain measured by Verbal Numeric Scale
Pain is score by Verbal Numeric Scale : 0-10 (0 = no pain; 10= pain as bad as can be)
Time frame: day 7
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