Date of Award

Spring 3-22-2024

Document Type

Thesis

Degree Name

Master of Medical Science (MMSc)

First Advisor

Arianna L. Gianakos, DO

Abstract

Intrauterine-devices are popular contraceptives due to excellent efficacy (99.1%) and convenience: they can be inserted and forgotten for years while providing 24/7 pregnancy protection. An established barrier to use is reported pain and anxiety during and after device insertion. Despite this, we lack studies assessing pharmaceutical interventions on anxiety during intrauterine device insertion. This study aims to determine the effect of oral diazepam on patient perception of pain during intrauterine device insertion. In this randomized control trial, individuals will be randomized to 2 treatment groups (5 mg diazepam or placebo). Pain and anxiety levels will be measured using 100-mm Visual Analog Scales during and after insertion. The study seeks to increase accessibility to intrauterine devices and to close gaps in gynecological pain management. The results will inform management guidelines for IUD insertion and may foster increased accessibility to IUDs.

Comments

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