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| courtesy : tonpetitlook.com |
Oral
Ketorolac administered 40-60 minutes before Intra Uterine Device(IUD)
significantly reduces the pain and discomfort associated with the procedure
reports the results of small, randomized trial published recently in Journal of
Obstetrics and Gynecology Canada.
Although
pain tolerance is different across different population, but many times the
prospect of a painful procedure scares patients off from getting an IUD
inserted.
Ibuprofen
and other pain relievers are not effective and a recent trial with injectable
pain killers rated the pain at injection site worse than the procedure itself.
This small randomized
trial conducted at community hospital in Columbus, Ohio recruited 72 women over
a period of 2 years. Eligible women received Ketorolac 20 mg (n = 35) or a
placebo (n = 36) 40-60 minutes before insertion.
Demographics
and pain ratings for uterine sounding or tenaculum placements were similar
between both the study arms.
The patients
rated pain on a scale from 0 to 10. Women in the Ketorolac arm reported significant
less pain relief score at the time of insertion (4.2 vs. 5.7, P = 0.031), overall
pain (3.6 vs. 4.9, P = 0.047), and pain 10 minutes after the procedure (1.1 vs.
2.5, P = 0.007).
The authors
concluded that oral ketorolac is significantly effective in reducing the pain associated
with IUD insertion.
