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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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Diabetes surge among Americans could be driven by ‘healthy’ breakfasts, doctor warns

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Diabetes surge among Americans could be driven by ‘healthy’ breakfasts, doctor warns

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Americans consume foods every day that are marketed as “healthy,” when they could be quietly destroying their health, one doctor warns.

Dr. Mark Hyman, physician and co-founder of Function Health in California, says that much of America’s daily diet is filled with unhealthy ingredients.

“The amount of refined starches and sugars that are everywhere is just staggering to me, given what we know about how harmful they are,” he shared in an interview with Fox News Digital. “I don’t think people really understand.”

Hyman, author of the new book “Food Fix Uncensored,” said he’s “astounded” by what people are eating, especially for breakfast.

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“People just eat sugar for breakfast,” he said. “They have muffins, they have bagels, they have croissants, they have sugar-sweetened coffees and teas.”

Dr. Mark Hyman is the author of the new book “Food Fix Uncensored.” (Function Health; Little, Brown Spark)

In addition to the traditionally sweet options for breakfast, some cereal brands and breakfast staples have adopted new “protein-packed” menu items and products, following health trends that encourage eating more protein.

“Highly processed food is not food.”

“Now, we’re seeing this halo of protein in certain things,” Hyman said, mentioning that many protein smoothies are “full of sugar.”

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The doctor also noted that some popular cereals are now marketed as having protein in them. “My joke is, if it has a health claim on the label, it’s definitely bad for you,” he said.

Instead of starting the day with a “quick fix” or processed food, Hyman suggests choosing whole sources of protein and fat for breakfast, adding that “if there’s a little carbohydrate in there, it’s fine.”

More products marketed as “high protein” have cropped up on supermarket shelves. (iStock)

For his own breakfast, Hyman said he has a protein shake with whey protein, avocado and frozen berries. Eggs and avocados are also a great protein-and-fat combo option, he added.

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“It’s not that complicated — people need to just think about their breakfast not being dessert,” he said. “No wonder we’re in this cycle of obesity and diabetes. One in three teenage kids now has type 2 diabetes or pre-diabetes. That’s just criminal.”

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Instead of counting calories and being in a caloric deficit as a way to lose weight and stay healthy, Hyman instead suggests focusing on how certain foods make you feel and how they impact your health.

“When you look at the way in which different types of calories affect your biology, you can just choose what you’re eating, and then you don’t have to worry about how much,” he told Fox News Digital.

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In addition to the traditionally sweet options for breakfast, some cereal brands and breakfast staples have adopted new “protein-packed” menu items and products. (iStock)

“For example, if you eat a diet that doesn’t cause your insulin to spike — which is low in starch and sugar, higher in protein and fat — you won’t develop those swings in blood sugar, you won’t develop the spikes in insulin, you won’t deposit hungry fat … You will break that cycle.”

People are more likely to “self-regulate when they eat real food” instead of processed foods, which “bypasses the normal mechanisms of satiety, fullness and brain chemistry,” according to Hyman.

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“Ultraprocessed food and junk food or highly processed food is not food,” he said. “It doesn’t support the health and well-being of an organism. It doesn’t do that. It does the opposite.”

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Scientists make startling discovery when examining prostate cancer tissue

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Scientists make startling discovery when examining prostate cancer tissue

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Small fragments of plastic were found in the tumors of most prostate cancer patients, according to a new study from NYU Langone Health. 

In past studies, microplastics have been found in almost every human organ and in bodily fluids, but their impact on human health still isn’t fully understood.

The researchers analyzed tissue samples from 10 patients with prostate cancer who underwent surgery to remove the entire organ. 

Using visuals of both benign samples and tumor samples, as well as specialized equipment, the scientists identified plastic particles in 90% of the tumor samples and 70% of benign tissue samples, according to the study press release.

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In past studies, microplastics were found in almost every single human organ along with bodily fluids, even the placenta. (iStock)

The cancerous tissue contained on average more than double the amount of plastic as healthy prostate tissue samples, the study found. This equates to about 40 micrograms of plastic per gram of tissue compared to 16 micrograms.

Researchers avoided contaminating the samples with other plastics by substituting standard tools with those made of aluminum, cotton and other non-plastic material, the release noted.

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The scientists say this is the first direct evidence linking microplastics to prostate cancer.

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“By uncovering yet another potential health concern posed by plastic, our findings highlight the need for stricter regulatory measures to limit the public’s exposure to these substances, which are everywhere in the environment,” said senior study author Vittorio Albergamo, assistant professor in the department of pediatrics at NYU Grossman School of Medicine, in the release.

Using visuals of both benign samples and tumor samples, as well as specialized equipment, the scientists identified plastic particles in 90% of the tumor samples and 70% of benign tissue samples. (iStock)

The study findings were presented during the American Society of Clinical Oncology’s Genitourinary Cancers Symposium in San Francisco on Feb. 26.

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“What is most striking is not that microplastics were detected, but that they were found embedded within tumor tissue itself,” Dr. David Sidransky, oncologist and medical advisor at SpotitEarly, a startup that offers an at-home breath-based test to detect early-stage cancer, told Fox News Digital.

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“While complete avoidance is unrealistic, people can take practical steps to reduce exposure.”

“We already know microplastics are present in water, air, blood and even placental tissue. Their detection in prostate tumors suggests systemic distribution and long-term bioaccumulation,” added Maryland-based Sidransky, who was not involved in the study.

Study limitations

Albergamo cautioned that a larger sample is needed to confirm the findings. Additionally, Sidransky noted that the presence of microplastics alone does not prove they cause cancer.

“Tumors can act as ‘biologic sinks,’ meaning they may accumulate circulating particles simply because of altered vasculature and permeability,” he said.

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A key unanswered question, according to the doctor, is whether microplastics are biologically active in ways that “promote DNA damage, immune modulation or chronic inflammation within the prostate.”

About one in eight men in the U.S. will be diagnosed with prostate cancer at some point in their lifetime, according to the Centers for Disease Control and Prevention.

The most actionable step men can take is appropriate screening and early detection, according to doctors. (iStock)

For those concerned about microplastics, Sidransky offered some insights.

“I believe the appropriate response is curiosity, not panic, and a commitment to understand more,” he said.

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“While complete avoidance is unrealistic, people can take practical steps to reduce exposure, such as minimizing heating food in plastic containers, reducing bottled water consumption when possible, and favoring glass or stainless steel alternatives.”

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The most actionable step men can take, however, is getting appropriate screenings to help ensure early detection, according to the doctor. Screening discussions should be individualized based on age, family history and other risk factors.

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How a Vegan Diet Can Help You Lose Weight 8X Faster

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How a Vegan Diet Can Help You Lose Weight 8X Faster


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