title: Oral analgesia vs intravenous conscious sedation during Essure Micro-Insert sterilization procedure: randomized, double-blind, controlled trial.
abstract: OBJECTIVE
  To compare the pain reported by patients during the Essure Micro-Insert sterilization procedure using either intravenous conscious sedation or oral analgesia.
  
  
  METHODS
  Randomized, double-blind, placebo-controlled trial (Canadian Task Force classification I).
  
  
  METHODS
  Tertiary care ambulatory women's clinic.
  
  
  METHODS
  Eighty women of reproductive age women requesting permanent sterilization.
  
  
  METHODS
  Hysteroscopic placement of the Essure Micro-Insert permanent birth control system.
  
  
  RESULTS
  Patients undergoing placement of the Essure Micro-Insert system for permanent contraception were randomized to receive either intravenous conscious sedation, oral analgesia, or placebo. During the procedure, pain scores were recorded using a visual analog scale. Patients in the oral analgesia group reported slightly more pain during insertion of the hysteroscope and placement of the second micro-insert; the groups were otherwise equivalent. They were also equivalent when all visual analog scale scores were combined.
  
  
  CONCLUSIONS
  Oral analgesia is an effective method of pain control during placement of the Essure Micro-Insert permanent birth control system.
authors.affiliation: Department of Obstetrics and Gynecology, Regina General Hospital, Regina Qu'Appelle Health Region, Regina, Saskatchewan, Canada. drjthiel@aol.com
authors.forename: John A
authors.initials: JA
authors.lastname: Thiel
authors.forename: Angelina
authors.initials: A
authors.lastname: Lukwinski
authors.forename: Huse
authors.initials: H
authors.lastname: Kamencic
authors.forename: Hyung
authors.initials: H
authors.lastname: Lim
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use*; D000771:Anesthesia, Intravenous; D016292:Procedural Sedation; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D058748:Pain Perception; D013245:Sterilization, Reproductive; D016896:Treatment Outcome
chemical_list: D000700:Analgesics