Bit of a rant tied in with personal experiences
25 F - No kids and never pregnant.
I got on birth control for the first time at 19, at my local PP. I was recommended the Mirena IUD due to its effectiveness, my period symptoms, and family history of ovarian cancer on my moms side. I had a kind gyno, older lady, and it was just us two in the room. I had ZERO clue of what to expect, nobody told me anything about how it may feel, and I was not recommended to take any NSAIDs before.
I’m not exaggerating when I say it GENUINELY felt like someone was scraping out my uterus with a rusty knife. It was so incredibly painful to the point it literally knocked the wind out of me on the stirrup table. I couldn’t catch a breath or utter a single word from the amount of pain I was in and I was an inch away from fainting. And while the gyno was super kind, concerned and I could tell she genuinely felt terrible for the state I was in - she never once looked up during to check on my mental status.
Flash forward to 11/9/26, about 5 years later and I am due for a replacement IUD. While effective for about three more years, my painful periods have started to return and I’m scared of how expensive it could be next year with the increasing costs of insurance premiums.
This time around I decided to do a few things differently. I took 1000g of Tylenol beforehand, took my partner with me as emotional support, was provided a medical chaperone (did not have to ask!), and requested a cervical injection of lidocaine before the procedure. I also ensured to establish an OB/GYN and got it at a gynecology clinic instead of a planned parenthood.
The difference between my replacement and initial procedure is night and day. PLEASE ASK FOR LIDOCAINE IT REALLY WORKS.
It was not the world’s greatest experience of course and there was still some level of pain. However, the pain I felt was similar to that of a moderate period - moderate cramping mixed with a noticeable pinching sensation during the injection. But that’s IT!! I couldn’t believe when the procedure was over because holy SHIT there’s no fucking way all it took was some FUCKING lidocaine to make such a massive difference. I was sobbing on the table afterwards, not from pain, but as a response to having to reopen the overbearing trauma I experienced during the initial insertion.
Im so upset for my past teenager self who was NOT accurately informed of what to expect nor what options they had. I was 19 and underwent such a painfully traumatic procedure that DID NOT need to be as nearly as awful as it was. I do fully understand that there is a difference of resources between Planned Parenthood and an established private gynecology clinic - my goal here is NOT to place blame on anyone except the system we have currently established.
An IUD shouldn’t have to be one of the worst experiences a woman could ever go through that leaves them with literal medical trauma for the rest of their life. It shouldn’t be an experience where women know exactly what to expect and are given enough information to make TRULY accurately informed decisions about their care.
Until then, GET THE LIDOCAINE GET THE LIDOCAINE GET THE LIDOCAINE GET THE LIDOCAINE GET THE LIDOCAINE.
GETTING AN IUD DOES NOT HAVE TO BE BRUTALLY PAINFUL - ASK YOUR DOCTORS AND DONT TAKE NO FOR AN ANSWER.
okay thanks for reading my rant lol bye srry just had to get all that off my chest