Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Reduction During Intrauterine Device (IUD) Insertion in Outpatient Gynecology

NCT ID: NCT06335823

Last Updated: 2025-02-11

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-05

Study Completion Date

2025-02-07

Brief Summary

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Pain with intrauterine device (IUD) insertion is very common and there are few options for patients to help reduce this pain. Transcutaneous electric nerve stimulators (TENS) are a non-invasive procedure that may help reduce the pain with IUD insertions. The investigators hope that the information gleaned from this study will result in pain control options for future patients who desire an IUD placement.

Detailed Description

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Conditions

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IUD Insertion Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Active TENS unit

All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients in this arm will have the TENS unit turned on to a 80 hz preset frequency with 100 mA as the pulse width.

Group Type EXPERIMENTAL

Transcutaneous electrical nerve stimulation (TENS)

Intervention Type DEVICE

All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will have the TENS unit turned on and half will have the TENS unit turned on to a 80 hz preset frequency with 100 mA as the pulse width.

Non-active TENS unit

All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will not have the TENS unit turned on.

Group Type PLACEBO_COMPARATOR

Placebo Transcutaneous electrical nerve stimulation (TENS)

Intervention Type DEVICE

All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will have the TENS unit will not be turned on.

Interventions

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Transcutaneous electrical nerve stimulation (TENS)

All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will have the TENS unit turned on and half will have the TENS unit turned on to a 80 hz preset frequency with 100 mA as the pulse width.

Intervention Type DEVICE

Placebo Transcutaneous electrical nerve stimulation (TENS)

All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will have the TENS unit will not be turned on.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 18-45 years old
* Individuals with a cervix and uterus
* Seeking intrauterine device (IUD) placement for contraception or management of abnormal uterine bleeding
* Meet medical eligibility for IUD placement
* Ability to consent in English
* Ability to use the visual analogue scale (VAS)

Exclusion Criteria

* Contraindications to IUD placement
* Use of analgesics within the last 4 hours prior to IUD placement
* Presence of a pacemaker
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospitals Cleveland Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Jean Marino

APRN-CNP

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jean M Marino, APRN-CNP

Role: PRINCIPAL_INVESTIGATOR

University Hospitals

Locations

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University Hospitals

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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STUDY20231621

Identifier Type: -

Identifier Source: org_study_id

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