Why isn’t it taken more seriously?
Pain isn’t universal, so medical experts can’t totally anticipate the degree of your discomfort during IUD insertion.Contraception, people who received IUDs said their pain reached 64.8 out of 100, on average, with a higher number indicating more pain. In comparison, their doctors anticipated that pain levels wouldn’t exceed 35 out of 100.
But your medical history should offer your clinician some clues about what IUD insertion may feel like for you. For example, if you have, which is characterized by involuntary vaginal muscle spasms and tightness, placement of the speculum can understandably be more painful. Or if you have a tilted uterus—meaning it is tipped backward instead of forward, which is the common position—then your clinician may have a hard time inserting the IUD, which can also contribute to pain, Dr. Ford says.
“When you start to force the IUD through the hole of the cervix, that’s when you get into trouble with things like perforation,” says Dr. Ford. In other words the IUD could tear the uterus. An experienced professional won’t force the IUD in, and in some cases, clinicians will use an, an imaging test that offers a clearer picture of the inside of your body, to ensure they’re placing the IUD properly.
Ultimately, doctors are responsible for discussing pain management options with you—but it’s not a requirement. According to the experts SELF spoke with, there is no formal protocol that dictates gynecological clinicians to discuss pain management options with their IUD patients. Every clinician has their own resources and preferences based on prior experience,
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