Managing IUD insertion and post-insertion pain
May 3, 2012 6:57 AM Subscribe
IUD insertion pain: please help me plan for handling it. I'm extremely sensitive to pain (especially right now, given recent medical history), but my doctors and I agree I need a Mirena IUD.
posted by anonymous to health & fitness (33 answers total) 3 users marked this as a favorite
I recently had a blood clot/DVT in my calf. I'd been on Nuvaring (which I loved) for two years. We don't know whether Nuvaring caused the DVT, but I did remove it and now I shouldn't ever use estrogen-containing BC again.
I agree with my doctors that my best choice now is a Mirena IUD. (I naturally have exceptionally heavy, and fairly painful, periods -- no diagnosis for why, ultrasounds and hormonal testing all totally normal. Now that I'm on blood thinners for six months post-clot, we especially want to try to keep my bleeding as reduced as possible.)
I am really concerned about the pain of IUD insertion and the potential cramping pain over the following days/weeks. I have a very low pain threshold anyway, I'm already in pain (post-DVT syndrome in my leg veins), and I'm burned out on handling pain -- from the clot, from the initial treatment for the clot (ten days of twice-daily, burning injections into my stomach), and now from the syndrome.
Good things I have:
- an ob-gyn I trust, in a great hospital-affiliated practice;
- a husband who's very comforting and will be there with me for the insertion;
- Percocet and Vicodin, left over from prescriptions for the clot pain, which I've shown no tendency to be addicted to (I'm off them now and have 10+ of each left). So I want to take whatever is the biggest safe dose of one of them before the insertion. I can't take any aspirins, by the way (no Advil, Motrin, etc. -- I can't take any OTC pain medicine except Tylenol).
Please talk to me about anything else that could help me with the insertion pain and the sustained cramping afterwards. I've read conflicting reports on whether insertion during your period is less *painful* or whether it's beneficial only for knowing you're not pregnant (my ob-gyn is eager and willing to insert at any time, period or not, if I have a blood test for pregnancy beforehand). I've read there's a medicine you can have prescribed beforehand to help relax the cervix, but I mentioned it to my ob-gyn and she said I don't need it (I'm willing to have another talk with her if I learn more about ). I'm early-30s, never been pregnant, generally fine health except for all this.