As of 2023, new research demonstrates that cervical block is effective in reducing pain associated with tenaculum placement and IUD insertion, especially in adolescent and nulliparous patients. The recommendations in this video regarding cervical block techniques and other pain management strategies remain consistent with current evidence.
For more information, see the following citations:
- De Nadai MN, et al. Intracervical block for levonorgestrel-releasing intrauterine system placement among nulligravid women: a randomized double-blind controlled trial. Am J Obstet Gynecol. 2020 Mar;222(3):245.e1-245.e10. Epub 2019 Sep 18.
- Akers AY, et al. Reducing Pain During Intrauterine Device Insertion: A Randomized Controlled Trial in Adolescents and Young Women. Obstet Gynecol. 2017 Oct;130(4):795-802.
- Mody SK, et al. Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. Obstet Gynecol. 2018 Sep;132(3):575-582.