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Pain relief for IUD insertion: CDC updates its recommended guidance to help women

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Pain relief for IUD insertion: CDC updates its recommended guidance to help women

Having an IUD (intrauterine device) inserted for birth control is known to be potentially painful.

The U.S. Centers for Disease Control and Prevention (CDC) is now recommending pain management protocols for the procedure.

Women on social media have documented their discomfort, with some TikTok users posting videos of themselves in visible pain while lying on a doctor’s table.

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One user, Sarah Warren, shared that she took ibuprofen an hour before her appointment as suggested by her doctor, but that the procedure was still painful.

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“I almost passed out, not going to lie,” she said. “There needs to be better pain management for IUD insertion.”

“There needs to be better pain management for IUD insertion,” wrote one woman (not pictured) on social media.  (iStock)

In a 2014 study published in the journal Contraception, health care providers were found to underestimate patients’ pain during IUD insertion.

On a 100-mm pain scale, patients in the study ranked their maximum pain at 64.8 mm, while providers rated it at 35.3 mm.

New guidance for pain relief

Following a persistent call for change from patients and doctors, the CDC released new guidance in its U.S. Selected Practice Recommendations for Contraceptive Use, 2024.

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The agency suggested that all patients should be counseled on the potential pain before the appointment, as well as on the risks, benefits and alternative options for pain management.

“When considering patient pain, it is important to recognize that the experience of pain is individualized and might be influenced by previous experiences, including trauma and mental health conditions, such as depression or anxiety,” the guidance reads.

The IUD is inserted through the opening of the cervix and into the uterus. (iStock)

Evidence suggests that using lidocaine as a local anesthetic — or using a topical gel, cream or spray — could help reduce patient pain, according to the agency.

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The notice also listed misoprostol as a medication used by some providers to help soften the cervix before IUD insertion.

The CDC also mentioned a variety of alternative options, like NSAIDs, smooth muscle relaxants and analgesics, although the evidence for pain reduction is limited.

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Dr. Meleen Chuang, chief of obstetrics and gynecology at NYU Langone Hospital Brooklyn, reflected on this guidance in a statement sent to Fox News Digital.

“Many OB/GYNs have already been doing these interventions for years,” she said. “It is welcoming to see the CDC reflect the updates for guidance in accordance to our care delivery.”

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“It is welcoming to see the CDC reflect the updates for guidance in accordance to our care delivery,” said one OB/GYN (not pictured).  (iStock)

Using pain relief methods like lidocaine to numb the cervix or taking medications such as acetaminophen and NSAIDs can help with reducing this discomfort, according to Chuang.

Other non-invasive pain relief methods can include using a heating pad on the patient’s belly, the doctor said. 

In addition to pain management, Chuang said her patients often find comfort in being “talked through” the procedure by their doctors.

Taking medications like acetaminophen and other NSAIDs can help with reducing IUD insertion discomfort, according to an OB/GYN. (iStock)

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“The communication of what to expect before and during the procedure helps with the overall experience and alleviates any anxieties,” she said. 

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“These are very easy things we commonly do for patients, as well as being fast/efficient in placing the IUDS, [to] make the experience much more acceptable.”

“The procedure for placement for IUD should take no more than two to three minutes in experienced hands,” an OB/GYN said. (iStock)

“We want what is best for our patients, and if there is fear or concern [about] pain … we are obligated to help our patients feel supported and at ease,” Chuang added.

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IUDs are more than 99% effective in preventing pregnancy, according to Yale Medicine.

In a statement sent to Fox News Digital, a CDC spokesperson said, “Health care providers can use this guidance to support person-centered contraceptive counseling and remove unnecessary medical barriers to accessing and using contraception.”

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Health

Common nighttime noise exposure may trigger heart problems, study suggests

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Common nighttime noise exposure may trigger heart problems, study suggests

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Living near heavy traffic could negatively impact your heart health.

A European study, published in the journal Environmental Research, found that exposure to nighttime road traffic noise is linked to changes in the blood, leading to worsened cholesterol and cardiovascular risks.

The researchers considered data from the U.K. Biobank, Rotterdam Study, and Northern Finland Birth Cohort 1966, including more than 272,000 adults over the age of 30, according to a press release.

Nighttime road noise exposure was estimated at all participants’ homes based on national noise maps. Researchers also took blood samples to measure the participants’ metabolic biomarkers for disease, then mapped the link between nightly noise levels and existence of biomarkers.

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Exposure to loud noise was associated with increased concentrations of cholesterol-related biomarkers. (iStock)

The study found that people exposed to louder noise at night — especially sounds above 55 decibels — showed changes in 48 different substances in their blood. Twenty of these associations “remained robust” throughout all cohorts.

Exposure to loud noise was associated with increased concentrations of cholesterol-related biomarkers, especially LDL “bad” cholesterol, IDL (intermediate-density lipoprotein) and unsaturated fatty acids.

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As noise levels increased, starting at around 50 decibels, cholesterol markers rose steadily, the release stated.

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The authors concluded that this study “provides evidence that nighttime road traffic noise exposure from 50 dB upward is associated with alterations in blood cholesterol and lipid profiles in adults.”

Researchers noted a link between traffic noise and cardiometabolic disease. (iStock)

Study co-author Yiyan He, doctoral researcher at the University of Oulu in Finland, noted that in this type of research, small effect sizes are expected, and environmental exposures such as traffic noise are “typically modest.”

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“Despite this, we observed statistically robust and consistent associations across many biomarkers, especially those related to LDL and IDL lipoproteins,” she told Fox News Digital.

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“We also identified a clear exposure-response pattern starting at around 50 dB, suggesting that metabolic changes become more evident as noise levels increase.”

This aligns with public health guidance, as the World Health Organization recommends lower nighttime noise limits at around 40 to 45 dB, Yiyan He added.

“This finding may clarify the association between traffic noise and cardiometabolic diseases,” the researchers wrote. (iStock)

“The 55 dB level is often used as an interim benchmark associated with substantial noise annoyance and sleep disturbance,” she said. “In our study, we observed associations not only at 55 dB, but also indications of effects emerging at around 50 dB.”

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The strength and consistency of the cholesterol-related associations were surprising, as these changes are usually “subtle.”

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“Instead, we found consistent associations across multiple large European cohorts, which strengthens confidence that the findings may reflect real biological patterns,” Yiyan He went on. “We were also interested to see that effects were minimal below ~50 dB, suggesting a possible threshold-like pattern.”

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The researcher noted that these findings were consistent across genders, education levels and obesity status.

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The study was restricted to White Europeans, which posed a limitation. There was also a lack of information on the fasting status in the UK Biobank.

Changes in cholesterol levels were more severe than researchers expected. (iStock)

“Fasting can influence levels of certain metabolites, particularly fatty acids,” Yiyan He said. “However, based on UK Biobank documentation, fewer than 10% of participants were fasting for at least eight hours, and our main findings focused on cholesterol-related biomarkers, which are generally less sensitive to short-term fasting.”

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The researchers also lacked information on bedroom location, indoor noise exposure and time spent at home.

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“These factors may introduce non-differential exposure misclassification,” Yiyan He said. “Additionally, noise exposure estimates were based on participants’ temporary residential addresses at the time of blood sampling, without considering the duration of residence.”

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“Many of these limitations would tend to bias results toward the null, so the consistent associations we observed remain noteworthy.”

Experts recommend taking measures to limit traffic noise at night. (iStock)

Based on this latest research, Yiyan He noted that nighttime noise is a “health-relevant exposure,” not just “an annoyance.”

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“Our findings suggest that nighttime traffic noise may subtly but consistently affect metabolic health,” she said. “While the changes in cholesterol and lipid levels for any one individual are small, traffic noise affects a very large number of people, which means the potential public health impact could be substantial.”

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The researcher recommends taking measures like improving sound insulation, using noise-reducing strategies and placing bedrooms on the quieter side of the home when possible.

“Because sleep is a key pathway linking noise to health, protecting the nighttime sleep environment is especially important,” she added.

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The Best Time To Drink Coffee for Weight Loss and a Faster Metabolism

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‘SuperAgers’ stay mentally sharp well past 80, as scientists reveal the reason

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‘SuperAgers’ stay mentally sharp well past 80, as scientists reveal the reason

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SuperAger Ralph Rehbock sits with his wife in his home.  (Shane Collins, Northwestern University)

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