RECRUITING

Empathy Through Pain Control: Lidocaine Paracervical Block for IUD Placements

Description

The goal of this research study is to learn more about how different uses of a numbing medication might affect pain levels while getting an IUD placed. The investigators are also studying participants opinions of their clinicians' empathy. The investigators are inviting patients who arrive at their clinic visit seeking an IUD. Usually, at University of California, San Diego (UCSD), for patients who have never delivered a baby, clinicians use a buffered paracervical block for before IUD placement. The purpose of this research study is to investigate whether a "buffered" (2 cc of sodium bicarbonate, 18 cc of 1% lidocaine) paracervical block (numbing medication given on both sides of the cervix) is effective in reducing pain during IUD placement in individuals with prior C-sections, the difference between buffered and unbuffered for nulliparous patients, and whether a medicated gel reduces pain with the paracervical block.

Conditions

ContraceptionPain, AcuteAnesthesia, Local
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Related Conditions:

ContraceptionPain, AcuteAnesthesia, Local

Study Overview

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Study Details

Study overview

The goal of this research study is to learn more about how different uses of a numbing medication might affect pain levels while getting an IUD placed. The investigators are also studying participants opinions of their clinicians' empathy. The investigators are inviting patients who arrive at their clinic visit seeking an IUD. Usually, at University of California, San Diego (UCSD), for patients who have never delivered a baby, clinicians use a buffered paracervical block for before IUD placement. The purpose of this research study is to investigate whether a "buffered" (2 cc of sodium bicarbonate, 18 cc of 1% lidocaine) paracervical block (numbing medication given on both sides of the cervix) is effective in reducing pain during IUD placement in individuals with prior C-sections, the difference between buffered and unbuffered for nulliparous patients, and whether a medicated gel reduces pain with the paracervical block.

Expanding the Use of Paracervical Block for IUD Placements and Adding a Compassionate Care Assessment

Empathy Through Pain Control: Lidocaine Paracervical Block for IUD Placements

Condition
Contraception
Intervention / Treatment

-

Contacts and Locations

La Jolla

University of California, San Diego, La Jolla, California, United States, 92093

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Ability to provide informed consent
  • 2. Women IUD placement for contraception or heavy menstrual bleeding
  • 3. Ages 18-50
  • 4. English-speaking
  • 5. Participants must not have a past medical history of substance use disorders, pain disorders, use of prescription pain medications or are found to be pregnant
  • 1. No history of vaginal delivery
  • 2. Current use of prescription pain medication prior to procedure. Over-the-counter medications such as those containing ibuprofen, aspirin, acetaminophen, or naproxen are allowed.
  • 3. Diagnosed chronic pain condition
  • 4. Current pregnancy
  • 5. Known allergic reactions to components of the local anesthetic
  • 6. History of an IUD placement
  • 7. Current substance use or history of substance use
  • 8. Known contraindications to IUD, such as unexplained vaginal bleeding

Ages Eligible for Study

18 Years to 50 Years

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

University of California, San Diego,

Sheila K Mody, MD, MPH, PRINCIPAL_INVESTIGATOR, UC San Diego

Study Record Dates

2028-06-30