Ultrasound Guidance Can Reduce IUD Insertion Time

We investigated whether ultrasound (US)-guided intrauterine device (IUD) insertion reduces procedure time and pain compared to conventional methods. A quasi-randomized prospective study at a Federally Qualified Teaching Health Center enrolled a total of 50 IUD insertion cases. In the US-guided group (n = 25), IUD insertion was performed under transabdominal US guidance without uterine sounding and bimanual examination. In the conventional group (n = 22), insertion was followed by bimanual examination and uterine sounding. The procedure time was significantly shorter in the US-guided group (P = .033), while pain scores were not different between the groups (P = .161). Transabdominal US guidance during IUD insertion may enhance procedural efficiency and serve as a valuable tool in teaching health centers.