Use of Cervical Cap and Menstrual Disc for Application of Topical Anesthetic Prior to IUD Insertion

Exclusion Criteria

• •History of any prior births, miscarriages, or abortions after 16 weeks' gestation
• •Currently pregnant, known or suspected
• •Current stringless IUD in place
• •Participants premedicated with misoprostol
• •History of chronic pelvic pain which patients take daily medication for
• •History of endometriosis, fibroids, adenomyosis, prior cervical procedures (such as Loop Electrosurgical Excision Procedure (LEEP) or cold knife cone)
• •Any contraindications to IUD placement (per current labeling including pregnancy, fibroids that distort the uterine cavity, exam consistent with pelvic inflammatory disease, allergy to any component of the levonorgestrel intrauterine system (LNG-IUS), etc.)
• •Known allergy to eutectic mixture of local anesthetics (EMLA) or lidocaine cream, silicone, menstrual disc, or cervical cap
• •Any contraindication to EMLA or lidocaine cream, menstrual disc, or cervical cap
• •Previous IUD placement or failed attempt of an IUD placement
• •Weight \< 54.4kg (120 lbs)
• •Plan for use of oral anxiolysis, moderate/deep sedation, or narcotics for procedure
• •Patient requesting or patient use in the past 24 hours of oral anxiolysis, moderate/deep sedation, or narcotics
• •Any planned concomitant procedures, such as dilation and curettage (D\&C), endometrial biopsy, colposcopy, hysteroscopy, etc.
• •Illicit drug use