The American College of Obstetricians and Gynecologists (ACOG) has issued new guidance encouraging doctors to offer more pain management choices during common gynecological procedures. These include IUD insertion, endometrial biopsy, hysteroscopy, and cervical biopsy—procedures often linked to discomfort or pain.
Key Recommendations for Pain Management
Use of local anesthetics such as lidocaine injections, sprays, or creams during IUD insertions.
Offering nonsteroidal anti-inflammatory drugs (NSAIDs) and medications like misoprostol to reduce pain.
Engaging patients in discussions about pain relief options tailored to their needs and preferences.
Applying pain management even when scientific evidence is limited, focusing on patient comfort.
Why This Matters
Many women experience anxiety and fear about pain during gynecological procedures. According to Genevieve Hofmann, a women’s health nurse practitioner and co-author of the guidelines, patients often feel their pain concerns are dismissed, which can lead to dissatisfaction and mistrust in healthcare providers. The new guidance aims to improve communication and trust by prioritizing patient-centered care.
Personalized Pain Care
ACOG stresses that doctors should consider factors like a patient’s age, previous exam experiences, and anxiety levels when discussing pain options. Dr. Kimberly Hoover, an OB-GYN and co-author, highlights that patients know their bodies best and should be empowered to choose pain management strategies that fit their priorities—whether that means minimizing pain, completing the procedure quickly, or pausing if needed.
Not Mandatory, But Encouraged
These guidelines serve as recommendations rather than mandatory rules. However, they mark a shift toward acknowledging the importance of pain relief in gynecological care and ensuring more patients have access to effective pain management.
