Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 9834

Original article / research
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : QC09 - QC11

Paracervical Block and Paracetamol for Pain Reduction During IUD Insertion: A Randomized Controlled Study

Selen Dogan, Bulent Simsek

1. Physician, Department of Obstetrics and Gynaecology, Cumra State Hospital, Konya, Cumra, Turkey. 2. Physician, Department of Obstetrics and Gynaecology, Cumra State Hospital, Konya, Cumra, Turkey.

Correspondence Address :
Dr. Selen Dogan,
Department of Obstetrics and Gynaecology, Cumra State Hospital, Konya, Cumra-42500, Turkey.


Introduction: Unintended pregnancies and its consequences are considerable public health problem. Intrauterine Devices (IUD) are reversible, safe and effective contraceptive method for most women.

Aim: The aim of this study was to compare the effects of paracervical block and paracetamol on pain reduction during IUD insertion.

Materials and Methods: A total of 118 patients were enrolled in to this prospective randomized study. Paracervical block was performed in 42 patients (Group 1), 30 patients received paracetamol (Group 2) and 46 patients did not receive any analgesic method (Group 3). The primary end point was to determine the pain levels using Visual Analogue Scale (VAS) during (VAS1) and after (VAS2) insertion of intrauterine device.

Results: Mean VAS1 and VAS2 scores of groups were 3.691.6 and 3.020.1 for Group 1; 3.730.8 and 3.00.7 for Group 2; 4.371.4 and 3.831.2 for Group 3 respectively. There were no significant difference between VAS 1 among the groups. However VAS2 scores were significantly different between Group 3 and both Group 1 (p<0.001) and Group 2 (p<0.001). Neither VAS1 scores (p 0.9) nor VAS2 scores (p 0.5) were different between Group 1 and 2.

Conclusion: Paracetamol and paracervical block are both effective methods for pain relief after IUD insertion and there is no difference between these two methods with respect to pain relief.


Contraception, Oral analgesic, Pain management

How to cite this article :

Selen Dogan, Bulent Simsek. PARACERVICAL BLOCK AND PARACETAMOL FOR PAIN REDUCTION DURING IUD INSERTION: A RANDOMIZED CONTROLLED STUDY. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 20 ]; 11:QC09-QC11. Available from

DOI and Others

DOI: 10.7860/JCDR/2017/25702.10854

Date of Submission: Nov 28, 2016
Date of Peer Review: Jan 25, 2017
Date of Acceptance: Jun 01, 2017
Date of Publishing: Nov 01, 2017


JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)