Trial reportAmerican journal of obstetrics and gynecology2012
Cervical lidocaine for IUD insertional pain: a randomized controlled trial.
Trial report in American journal of obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Contraceptive Choice Project
Diclofenac Plus Lidocaine Gel for Pain Relief During Intrauterine Device (IUD) Insertion. A Randomized Double Blinded Placebo-controlled Study
Study of Pain Control With Hormonal IUS Insertion (SOPHI Study)
Who cites it
9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Medications to ease intrauterine device insertion: a systematic review.Contraception · 2016Pooled it
- Interventions for pain with intrauterine device insertion.The Cochrane database of systematic reviews · 2015Pooled it
- Management of pain associated with the insertion of intrauterine contraceptives.Human reproduction updatePooled it
- Network Meta-Analysis of Randomized Controlled Trials Comparing Safety and Efficacy of Pharmacological Treatments in Reducing Pain During Intrauterine Device Insertion.Sultan Qaboos University medical journal · 2025Review
- Physiological and behavioral parameters of pain and stress in mares during and after transvaginal ultrasound-guided follicular aspiration.Frontiers in veterinary science · 2025Article
- Cold Compress for Intrauterine Device Insertional Pain: A Randomized Control Trial.Women's health reports (New Rochelle, N.Y.) · 2020Article
- New developments in intrauterine device use: focus on the US.Open access journal of contraception · 2016Review
- Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives.The journal of family planning and reproductive health care · 2014Review
- Role of the levonorgestrel intrauterine system in effective contraception.Patient preference and adherence · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveAnticipated pain with intrauterine device (IUD) insertion may be a barrier to widespread use. Our objective was to evaluate the efficacy of intracervical 2% lidocaine gel for pain relief with IUD insertion. STUDY
designWe performed a double-blind, randomized controlled trial of women undergoing IUD insertion. Participants were randomly assigned to 2% lidocaine or placebo gel. Study gel (3 mL) was placed 3 minutes prior to IUD insertion. Pain scores were measured at various time points using a 10-point visual analog scale.
resultsOf the 200 participants randomized, 199 completed the study. Pain scores among lidocaine and placebo arms were similar at tenaculum placement (lidocaine and placebo: median, 4; range, 0-10; P = .15) and with insertion (lidocaine: median, 5; range, 1-10; placebo: median, 6; range, 0-10; P = .16). These results did not differ by parity.
conclusionTopical or intracervical 2% lidocaine gel prior to IUD insertion does not decrease pain scores.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.