Research confirms what many women know firsthand: pain is often dismissed or undertreated in women’s healthcare. Studies show women are less likely to receive adequate pain relief and more likely to be told their discomfort is “just stress.” Nowhere is this gap clearer than in gynecologic care, where procedures like IUD insertions frequently cause more pain than patients expect.
“I Had No Idea What I Was in For”
Many women report feeling shocked by the pain of IUD insertion. A common story: “My doctor said it might ‘pinch’ and suggested ibuprofen—it sounded minor. But the pain was intense, and I wasn’t prepared,” says one patient. Health psychologists hear these accounts often, highlighting a systemic failure to properly inform and support women.
A Major Shift in Women’s Healthcare
This month, the American College of Obstetricians and Gynecologists (ACOG) released new guidelines to address this issue. The recommendations call for better pain management during in-office procedures like IUD placements and cervical biopsies. Key changes include:
- Clear communication about potential pain before procedures.
- Offering pain relief options, such as numbing medications.
- A trauma-informed approach to reduce patient distress.
While some providers already follow these practices, the guidelines set a new standard to ensure consistent, compassionate care.
Why This Change Matters
Pain levels during IUD insertion vary—some women feel little discomfort, while others find it extremely painful. Some doctors avoid discussing pain, fearing it could increase anxiety. But this silence often backfires.
When women experience unexpected pain, the lack of preparation can lead to:
- Avoiding future medical care due to fear.
- Medical trauma or lasting anxiety.
- Lost trust in healthcare providers.
Better Communication = Better Care
Transparency and shared decision-making can make painful procedures less traumatic. Patients who understand what to expect—and have a say in pain management—feel safer, especially in vulnerable settings like pelvic exams.
ACOG’s guidelines mark a crucial step toward listening to women and improving gynecologic care. If you’re preparing for an IUD or biopsy, experts now emphasize: You deserve to know what to expect—and to have your pain taken seriously.
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