Estevez Eden, Hem-Lee-Forsyth Shivaughn, Viechweg N'Diera, John Sharon, Menor Stephanie P
Obstetrics and Gynecology, St. George's University School of Medicine, St. George, GRD.
Public Health, St. George's University, St. George, GRD.
Cureus. 2024 Jun 25;16(6):e63125. doi: 10.7759/cureus.63125. eCollection 2024 Jun.
The discomfort and anxiety associated with the intrauterine device (IUD) insertion process is a significant barrier to its adoption as a form of contraception despite its high efficacy. This study aimed to classify and identify methods for minimizing pain and anxiety in IUD implantation in women below the age of 49. A search of publications from online databases, PubMed and Google Scholar, revealed 14 articles that met the inclusion criteria. An analysis of the selected studies showed that several pharmacological and non-pharmacological measures effectively minimized patient discomfort associated with IUD insertion. Of the 14 studies, 12 evaluated pharmacological methods for pain management in IUD insertion, while two studies assessed non-pharmacological methods. The results showed that although the IUD is more effective than other forms of contraceptives, fear of pain related to the insertion process is one of the most significant barriers to the use of an IUD among women. Most studies identified pharmacological methods of pain management for IUD insertion, highlighting a need for more research on non-pharmacological methods to improve patient experiences and reduce associated fears.
尽管宫内节育器（IUD）避孕效果显著，但与IUD插入过程相关的不适和焦虑是其作为一种避孕方式被采用的重大障碍。本研究旨在分类并确定将49岁以下女性IUD植入过程中的疼痛和焦虑降至最低的方法。对在线数据库、PubMed和谷歌学术搜索到的出版物进行检索后，发现有14篇文章符合纳入标准。对所选研究的分析表明，几种药物和非药物措施有效地将与IUD插入相关的患者不适降至最低。在这14项研究中，12项评估了IUD插入时疼痛管理的药物方法，而两项研究评估了非药物方法。结果表明，尽管IUD比其他避孕方式更有效，但对与插入过程相关疼痛的恐惧是女性使用IUD的最重要障碍之一。大多数研究确定了IUD插入时疼痛管理的药物方法，这突出表明需要对非药物方法进行更多研究，以改善患者体验并减少相关恐惧。
