Effect of Multimodal Analgesia on Pain With Insertion of Levonorgestrel-releasing IUD

NCT ID: NCT02799641

Last Updated: 2023-08-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2022-06-30

Brief Summary

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Does the addition of cervical lidocaine injections and valium to the current practice result in decreased reported pain with tenaculum placement, IUD insertion, and post procedural discomfort? The current practice is ibuprofen alone or no medication.

Detailed Description

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Long acting reversible contraception, including intrauterine devices (IUDs), provide birth control for an extended period of time. IUDs are the most effective type of reversible birth control for women who do not wish to become pregnant over the next couple years, have the lowest failure rate (Winner, 2012), and in 2007, were used by more than 180 million women worldwide (Darney, 2010). Despite the high efficacy and low rates of side effects, women may decline placement of an IUD due to fear of pain associated with placement. IUDs may act as a barrier to women selecting this method of contraception. Currently there is no consensus in the literature as to the most effective way to address analgesia surrounding IUD insertion.

In order to eliminate barriers to selecting the IUD for contraception, improve the experience of women undergoing placement, and standardize local practices, investigators want to investigate analgesic options affecting patients' perception of pain during the various steps of IUD insertion.

Conditions

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Contraception

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Control

Control arm receives ibuprofen, placebo pill, and placebo injection.

Group Type PLACEBO_COMPARATOR

Placebo pill

Intervention Type OTHER

Placebo pill

Placebo injection

Intervention Type OTHER

Placebo injection

Treatment

Treatment arm receives ibuprofen, diazepam pill, and lidocaine injection.

Group Type EXPERIMENTAL

Diazepam

Intervention Type DRUG

5 mg Diazepam

Lidocaine

Intervention Type DRUG

2 ml of 2% lidocaine

Interventions

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Diazepam

5 mg Diazepam

Intervention Type DRUG

Lidocaine

2 ml of 2% lidocaine

Intervention Type DRUG

Placebo pill

Placebo pill

Intervention Type OTHER

Placebo injection

Placebo injection

Intervention Type OTHER

Other Intervention Names

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Valium Xylocaine

Eligibility Criteria

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Inclusion Criteria

* Over 18 years of age,
* Desires to undergo placement of a levonorgestrel containing intrauterine device

Exclusion Criteria

* Device manufacturer contraindications such as signs of genital infection, positive urine pregnancy test, abnormal vaginal bleeding, abnormal sized uterus that sounds \<6cm or \>10cm, and all other contraindications to placement of a levonorgestrel containing IUD.
* Patients with a history of drug abuse.
* History of a prior IUD
* Current use of medications for anxiety
* Also, a diagnosis of chronic pain.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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TriHealth Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Catrina Crisp, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

TriHealth Inc.

Locations

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Bethesda North Hospital

Cincinnati, Ohio, United States

Site Status

Countries

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United States

References

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Other Identifiers

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15-062

Identifier Type: -

Identifier Source: org_study_id

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