Office of Medical Communications

Lauren MacAfee, M.D., M.Sc., associate professor of obstetrics, gynecology, and reproductive sciences

(SEPTEMBER 9, 2024) Lauren MacAfee, M.D., M.Sc., associate professor of obstetrics, gynecology, and reproductive sciences, spoke to WCAX-TV about new CDC guidelines to address the pain often associated with IUD placement.

MacAfee says, in her experience, every patient reacts differently to the procedure. “I have had patients who literally have, like, not flinched, barely blinked. And I’ve had patients who have screamed because it was the most uncomfortable thing that ever happened to them,” she said.

IUDs, or intrauterine devices, are a T-shaped birth control that sit in the uterus. They’re placed via a small tube inserted through the cervical opening. The procedure can bring on intense cramping for patients and pressure for providers.

“We’re trying to balance and support that with the research and knowledge that we have about what we can do to minimize the pain or decrease the pain, which unfortunately is a little limited,” said MacAfee.

Recognizing this battle, the CDC just released new guidelines for IUD placement. Two main recommendations: the use of lidocaine during placement, and briefing patients on what to expect and pain management options at their disposal. Vermont gynecologists say it’s a step in the right direction, but believe there’s more to be done.

MacAfee says there’s no perfect solution for every patient, but the growing conversation around improving IUD insertion is making progress.