Pain from copper intrauterine device insertion: Randomized trial of prophylactic ibuprofen

David Hubacher, Veronica Reyes, Sonia Lillo, Ana Zepeda, Pai Lien Chen, Horacio Croxatto

Research output: Contribution to journalArticlepeer-review

148 Citations (Scopus)


Objectives: This study was undertaken to determine whether 400 mg of prophylactic ibuprofen can alleviate pain from insertion of an intrauterine device (IUD) and to measure level of pain with improved techniques. Study design: We conducted a randomized, double-blind, placebo-controlled trial of 2019 first-time IUD users: 1008 women received placebo and 1011 women received 400 mg of ibuprofen. Participants took the single tablet at least 45 minutes before IUD insertion. Immediately after insertion, participants recorded level of pain by using a 10-cm visual analog scale, with the value of 10 meaning "worst imaginable pain.". Results: Median level of pain was 1.0 for both ibuprofen and placebo participants; rank test statistics confirmed no difference. Some subgroups of women experienced higher pain (eg, nulliparous women), but ibuprofen still had no important impact on level of pain. Conclusion: Even among first-time users, pain from IUD insertion is generally low. Prophylactic ibuprofen as used in this protocol does not reduce IUD insertion pain.

Original languageEnglish
Pages (from-to)1272-1277
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Issue number5
Publication statusPublished - Nov 2006


  • Ibuprofen
  • Insertion
  • Intrauterine device
  • Pain
  • Prevention

ASJC Scopus subject areas

  • General Medicine
  • Obstetrics and Gynaecology


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