Objective: To survey obstetricians and gynecologists routine pain control practices in office intrauterine device insertion and
Methods: An observational cross-sectional survey-based study was conducted to evaluate the current pain management
practices in outpatient gynecological procedures in Portugal. Type of protocols applied and their frequency as well as the possibility
of using an alternative local strategy were addressed.
Results: Of the surveyed professionals, 198 (49.5%) implemented pain reduction protocols when inserting intrauterine devices.
Non-steroid anti-inflammatory drugs (49.5%) were the first choice followed by the use of misoprostol (22.7%). Respondents
reported a higher percentage of pain management during hysteroscopy (87.4%), opting mostly for general anesthesia. More than
85% of the ob-gyn would adopt a local anesthetic solution developed specifically for this purpose, highlighting that the current
applied methodologies are frequently ineffective.
Conclusion: Current pain control methods for office procedures are not totally effective and are a major limiting factor. More
efficient pain control methods and guidelines are needed for gynecological procedures in an office setting. birth weight is detected early and treated appropriately. They should be followed up to ensure normal progression of pregnancy.