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Pain control during intrauterine device insertion: Transcutaneous electrical nerve stimulation.
Kellie Coleman1, Chelsea Carter2
1VA Connecticut Healthcare System, West Haven, Connecticut.
Summary
Transcutaneous electrical nerve stimulation (TENS) may effectively manage pain during intrauterine device insertion. Patients reported reduced pain and better experiences compared to previous procedures, suggesting TENS as a promising option for gynecological pain control.
Area of Science:
- Gynecology
- Pain Management
- Neuromodulation
Background:
- Effective pain management during gynecological procedures like IUD insertion is lacking.
- Pain is a significant barrier to contraception choice and adherence.
- Need for non-pharmacological pain relief options during IUD insertion.
Purpose of the Study:
- To evaluate the efficacy of transcutaneous electrical nerve stimulation (TENS) for pain control during IUD insertion.
- To characterize patient experiences with TENS for IUD insertion pain.
Main Methods:
- Case review of five patients undergoing IUD insertion with TENS.
- Assessment of patient-reported pain levels during the procedure.
- Comparison of pain experience with prior IUD insertions.
Main Results:
- Patients reported a range of no to moderate pain during IUD insertion with TENS.
- Overall pain experience was rated as better compared to previous insertions.
- TENS was perceived as an effective pain management strategy.
Conclusions:
- Transcutaneous electrical nerve stimulation shows promise as a clinical option for managing pain during IUD insertion.
- TENS may improve patient acceptance and adherence to gynecological procedures.
- Further research is warranted to confirm these findings in larger studies.
