Oral analgesia vs intravenous conscious sedation during Essure Micro-Insert sterilization procedure: randomized, double-blind, controlled trial.

STUDY
OBJECTIVE: To compare the pain reported by patients during the Essure Micro-Insert sterilization procedure using either intravenous conscious sedation or oral analgesia.
DESIGN: Randomized, double-blind, placebo-controlled trial (Canadian Task Force classification I).
SETTING: Tertiary care ambulatory women's clinic. PATIENTS: Eighty women of reproductive age women requesting permanent sterilization. INTERVENTION: Hysteroscopic placement of the Essure Micro-Insert permanent birth control system.
MEASUREMENTS AND MAIN RESULTS: Patients undergoing placement of the Essure Micro-Insert system for permanent contraception were randomized to receive either intravenous conscious sedation, oral analgesia, or placebo. During the procedure, pain scores were recorded using a visual analog scale. Patients in the oral analgesia group reported slightly more pain during insertion of the hysteroscope and placement of the second micro-insert; the groups were otherwise equivalent. They were also equivalent when all visual analog scale scores were combined.
CONCLUSION: Oral analgesia is an effective method of pain control during placement of the Essure Micro-Insert permanent birth control system. Copyright Â

RCT Entities:   Population Interventions Outcomes