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the aim of this study is to compare the safety and Efficacy of Lidocaine Spray Versus Vaginal dinoprostone in relieving pain during levonorgestrel IUD Insertion in nulliparous women
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lidocaine spray | Experimental | four puffs (50ml, 10 mg/puff) of lidocaine spray will be applied to the cervical canal and cervix before tenaculum placement plus vaginal placebo will be given 3 hours before IUD insertion |
|
| vaginal dinoprostone | Active Comparator | vaginal dinoprostone 3 mg will be given 3 hours before IUD insertion plus four puffs of saline spray will be applied to the cervical canal and cervix before tenaculum placement |
|
| placebo | Placebo Comparator | vaginal placebo will be given 3 hours before IUD insertion plus four puffs of saline spray will be applied to the cervical canal and cervix before tenaculum placement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lidocaine spray | Drug | four puffs (50 ml, 10 mg/puff) of lidocaine spray before tenaculum placement plus vaginal placebo 3 hours before IUD insertion |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain during IUD insertion | pain during IUD insertion assessed by 10 cm visual analog scale where 0 denotes no pain and 10 denotes the worst pain imaginable | 2 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| insertion duration | duration of LNG-IUD insertion from speculum in to speculum out | 5 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| AHMED SAMY | Contact | +201100681167 | ahmedsamy8233@gmail.com |
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| vaginal dinoprostone | Drug | vaginal dinoprostone 3 mg will be given 3 hours before IUD insertion plus four puffs of saline spray before tenaculum placement |
|
| placebo | Drug | vaginal placebo will be given 3 hours before IUD insertion plus four puffs of saline spray before tenaculum placement |
|