Intranasal Fentanyl for Pain Control During First-Trimester Uterine Aspiration

Inclusion Criteria: * Seeking office based uterine aspiration * Gestational age at 14 weeks or less * Age 14 years or older with parental consent to participate in this research study if 14-17 years old * Able to read, speak, and understand English * Ability to understand materials and consent forms Exclusion Criteria: * Seeking medical abortion, operating room based surgical abortion, or operating room based miscarriage management * Gestational age greater than 14 weeks * Age less than 14 years old * Inability to read, speak, and understand English * Current incarceration * Weight less than 40kg * Self-reported or documentation of significant cardiopulmonary disease * Self-reported or documentation of alcohol or substance dependence or abuse * Contraindications, relative contraindication to fentanyl use