{"id":27884,"date":"2025-05-15T21:00:12","date_gmt":"2025-05-15T21:00:12","guid":{"rendered":"https:\/\/medexperts.pro\/?p=27884"},"modified":"2025-05-15T21:24:15","modified_gmt":"2025-05-15T21:24:15","slug":"new-guidelines-address-i-u-d-insertion-pain-and-offer-management-options","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=27884","title":{"rendered":"New Guidelines Address I.U.D. Insertion Pain and Offer Management Options"},"content":{"rendered":"
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Recommendations from the American College of Obstetricians and Gynecologists outline a range of pain management options for routine procedures.<\/p>\n

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A national organization that sets practice standards for physicians has for the first time outlined how doctors can give patients pain-relief options during the insertion of intrauterine devices and other common gynecological procedures.<\/p>\n

The new guidelines<\/a>, published today by The American College of Obstetricians and Gynecologists, urge doctors to \u201cnot underestimate the pain experienced by patients,\u201d marking a significant change for the organization. In years past, ACOG acknowledged that common gynecological procedures can be painful, but stopped short of recommendations because of mixed evidence on the efficacy of pain management options. These new guidelines echo those issued for I.U.D. insertion pain<\/a> by the Centers for Disease Control and Prevention in the fall, but are more expansive in that they cover pain management for a range of other procedures, including cervical biopsy, endometrial biopsy and intrauterine imaging.<\/p>\n

To decrease the pain associated with these procedures, ACOG now recommends either an anesthetic cream, a spray or an injected local anesthetic known as a paracervical block. <\/p>\n

The change is in part a response to a groundswell of complaints<\/a> from patients on social media, in the news and directly with physicians. \u201cThere\u2019s really a push from our patients to understand what the options are \u2014 what\u2019s available to them,\u201d said Dr. Kristin Riley, an obstetrician-gynecologist and co-author of the new guidelines. \u201cI mean, we\u2019re all on social media, and we all see it,\u201d she said. That feedback was \u201ccertainly on our minds.\u201d<\/p>\n<\/div>\n<\/div>\n

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After assessing available data on pain management, the group acknowledged that evidence on effectiveness during common gynecological procedures is still conflicting and limited, but noted that doctors should advise patients on what to expect and discuss the options. The organization also noted that particularly vulnerable populations, including those with a history of chronic pelvic pain, sexual violence or abuse, or substance use disorder, should be given special consideration as they may have a different pain tolerance than other patients, or a resistance to pain medications.<\/p>\n

The update represents a positive shift for an industry that has in the past been accused of dismissing female pain<\/a>, said Dr. Ashley Jeanlus, a private practice gynecologist and complex family planning specialist in Washington, D.C. \u201cACOG is making it very clear that we should be treating our patients with equity, dignity and trust and ensuring that they\u2019re not expected to kind of tough it out anymore.\u201d<\/p>\n

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Recommendations from the American College of Obstetricians and Gynecologists outline a range of pain management options for routine procedures.A national organization that sets practice standards for physicians has for the first time outlined how doctors can give patients pain-relief options during the insertion of intrauterine devices and other common gynecological procedures.The new guidelines, published today by The American College of Obstetricians and Gynecologists, urge doctors to \u201cnot underestimate the pain experienced by patients,\u201d marking a significant change for the organization. In years past, ACOG acknowledged that common gynecological procedures can be painful, but stopped short of recommendations because of mixed evidence on the efficacy of pain management options. These new guidelines echo those issued for I.U.D. insertion pain by the Centers for Disease Control and Prevention in the fall, but are more expansive in that they cover pain management for a range of other procedures, including cervical biopsy, endometrial biopsy and intrauterine imaging.To decrease the pain associated with these procedures, ACOG now recommends either an anesthetic cream, a spray or an injected local anesthetic known as a paracervical block. The change is in part a response to a groundswell of complaints from patients on social media, in the news and directly with physicians. \u201cThere\u2019s really a push from our patients to understand what the options are \u2014 what\u2019s available to them,\u201d said Dr. Kristin Riley, an obstetrician-gynecologist and co-author of the new guidelines. \u201cI mean, we\u2019re all on social media, and we all see it,\u201d she said. That feedback was \u201ccertainly on our minds.\u201dAfter assessing available data on pain management, the group acknowledged that evidence on effectiveness during common gynecological procedures is still conflicting and limited, but noted that doctors should advise patients on what to expect and discuss the options. The organization also noted that particularly vulnerable populations, including those with a history of chronic pelvic pain, sexual violence or abuse, or substance use disorder, should be given special consideration as they may have a different pain tolerance than other patients, or a resistance to pain medications.The update represents a positive shift for an industry that has in the past been accused of dismissing female pain, said Dr. Ashley Jeanlus, a private practice gynecologist and complex family planning specialist in Washington, D.C. \u201cACOG is making it very clear that we should be treating our patients with equity, dignity and trust and ensuring that they\u2019re not expected to kind of tough it out anymore.\u201dWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0log into\u00a0your Times account, or\u00a0subscribe\u00a0for all of The Times.Thank you for your patience while we verify access.Already a subscriber?\u00a0Log in.Want all of The Times?\u00a0Subscribe.<\/p>\n","protected":false},"author":1,"featured_media":27886,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-27884","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lifestyle"],"_links":{"self":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/27884","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27884"}],"version-history":[{"count":2,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/27884\/revisions"}],"predecessor-version":[{"id":27887,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/27884\/revisions\/27887"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/media\/27886"}],"wp:attachment":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27884"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27884"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27884"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}