Abstract
Background and Objective: IUD is a safe, effective, and reversible method throughout the world, particularly in areas where population growth is too much. One of the main barriers to use IUD is the fear and pain of its insertion. Therefore, it is necessary to take measures to reduce the pain, and this study was conducted to investigate the effect of EMLA cream and ibuprofen on pain during IUD insertion. Materials and Methods: This randomized controlled clinical trial study was conducted on 120 women who admitted to Imam Javad health center in Zahedan in 2015-2016 for insertion of IUD. Women who admitted to this center were randomly assigned into 3 groups of EMLA group (n = 40), ibuprofen (n = 40), and control or placebo (n = 40). These women have no problem to insert IUD. Demographic data and pain level were recorded in a questionnaire based on Johnson’s Visual analog scale of pain at 3 stages of IUD insertion, and all IUDs were inserted by a midwife and then data were analyzed by SPSS software. Findings: The results of this research show that the lowest level of pain severity at three stages of insertion related to the EMLA cream (P < 0.01), while the maximum level of pain in the 3 groups related to Tenaculum. Conclusion: The results of the study showed that, compared to ibuprofen and placebo, EMLA cream is a safe method in reducing pain caused by IUD insertion in all stages of IUD insertion.
Highlights
IUD is used as an effective, reversible, and long-term contraceptive method over the world for 30 years
Most of the studies conducted in this regard have examined the effect of chemical drugs like ibuprofen, naproxen, vitamin B1, misoprostol and herbal drugs such as lavender and a few of studies have been conducted on the effect of using topical and regional anesthesia on pain at the time of IUD insertion
The findings of the current study are in line with results of study conducted by Liberty et al (2007) to examine the effect of EMLA cream on Hysterosalpingography pain [15] and with the results of the study conducted by Stigliano et al (1997) that examined the EMLA cream effect in Hysteroscopy pain [19]
Summary
IUD is used as an effective, reversible, and long-term contraceptive method over the world for 30 years. IUD does not increase breast and cervical complications and female genital tract cancers It reduces the risk of endometrial cancer, and IUD is suggested as emergency contraception in cases that one of them has no protection [2]. It is necessary to take measures to reduce the pain, and this study was conducted to investigate the effect of EMLA cream and ibuprofen on pain during IUD insertion. Conclusion: The results of the study showed that, compared to ibuprofen and placebo, EMLA cream is a safe method in reducing pain caused by IUD insertion in all stages of IUD insertion
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