Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Reduction During Intrauterine Device (IUD) Insertion in Outpatient Gynecology

Randomized, Placebo-Controlled Study on the Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Reduction During Intrauterine Device (IUD) Insertion in Outpatient Gynecology

Pain with intrauterine device (IUD) insertion is very common and there are few options for patients to help reduce this pain. Transcutaneous electric nerve stimulators (TENS) are a non-invasive procedure that may help reduce the pain with IUD insertions. The investigators hope that the information gleaned from this study will result in pain control options for future patients who desire an IUD placement.

Inclusion Criteria:

• Age 18-45 years old
• Individuals with a cervix and uterus
• Seeking intrauterine device (IUD) placement for contraception or management of abnormal uterine bleeding
• Meet medical eligibility for IUD placement
• Ability to consent in English
• Ability to use the visual analogue scale (VAS)

Exclusion Criteria:

• Contraindications to IUD placement
• Use of analgesics within the last 4 hours prior to IUD placement
• Presence of a pacemaker