title: Ibuprofen prophylaxis for levonorgestrel-releasing intrauterine system insertion: a randomized controlled trial.
abstract: BACKGROUND
  Despite the high efficacy of the levonorgestrel-releasing intrauterine system (LNG-IUS) in preventing pregnancy, uptake of the intrauterine devices remains low in the United States. Decreasing pain at the time of intrauterine device insertion may be one way to increase interest in this method of contraception.
  
  
  METHODS
  We conducted a double-blind, placebo-controlled trial, randomizing women to 800 mg ibuprofen or placebo 45 min prior to LNG-IUS insertion to determine effect of ibuprofen on the pain of LNG-IUS insertion.
  
  
  RESULTS
  Eighty-one women completed the study: 44 received ibuprofen, and 37 received placebo. Women in the ibuprofen and placebo groups had similar mean scores for anticipated pain (4.07 and 3.91, respectively; p=.79), pain with tenaculum placement (3.86 and 3.81, respectively; p=.90) and pain with insertion (3.69 and 3.34, respectively; p=.91).
  
  
  CONCLUSIONS
  Administration of ibuprofen prophylaxis for LNG-IUS insertion does not decrease pain at the time of insertion.
authors.affiliation: Department of Obstetrics and Gynecology, John H. Stroger Jr. Hospital of Cook County, Chicago, IL 60612, USA. jchormd@gmail.com
authors.forename: Julie
authors.initials: J
authors.lastname: Chor
authors.forename: Julia
authors.initials: J
authors.lastname: Bregand-White
authors.forename: Alex
authors.initials: A
authors.lastname: Golobof
authors.forename: Bryna
authors.initials: B
authors.lastname: Harwood
authors.forename: Allison
authors.initials: A
authors.lastname: Cowett
mesh_terms: D000328:Adult; D000698:Analgesia; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007052:Ibuprofen / Q000008:administration & dosage*; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000008:administration & dosage*; D010919:Placebos
chemical_list: D018712:Analgesics, Non-Narcotic; D010919:Placebos; D016912:Levonorgestrel; D007052:Ibuprofen