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New ‘suction’ treatment might make IUDs nearly ‘pain-free’

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A revolutionary cervical suction cup could soon render essentially painless the most excruciating method of contraception, which is utilized by millions of American women. 

Women undertaking IUD insertion procedures have historically been subjected to the agony of having a metallic device resembling a pair of scissors stretched across their cervix. 

Sharp hooks are used to stretch the cervix before inserting the T-shaped device, which prevents fertilization by blocking the sperm from reaching the egg.

In contrast, the conventional “stretching device” is notoriously excruciatingly painful due to the propensity of its metal edges to pierce through tissue and induce hemorrhaging.

However, specialists at the Swiss technology company Aspivix have developed an alternative technique that manipulates the cervix via suction, reducing discomfort by 75%. 

It functions by suction-pad-adhesively adhering to the cervix and prying it apart; no pointed edges are visible.

Initial clinical trials indicate that the Carevix device can alleviate pain by 73%. However, additional research is required to confirm the device’s safety and effectiveness in the United States, where it is still undergoing testing.

Numerous European patients and their physicians have attested to its efficacy, citing significant reductions in pain and hemorrhage.

It is common knowledge that IUD insertion can be an agonizing ordeal. 

Additionally, women who have not given birth probably have a closed cervix, necessitating the use of a dilator or forceful insertion by the physician to insert the IUD into the uterus from beyond the cervix.

At present, physicians utilize the tenaculum, a device resembling scissors. 

The tenaculum, which stems from forceps originally employed to extract bullets from the flesh of Civil War combatants, has been likened to a butcher’s hook due to its capability of creating perforations in the cervix.

Frequently unassisted by over-the-counter analgesics such as ibuprofen or acetaminophen, the agony of the procedure has been the subject of millions of TikTok videos in which women and physicians openly discuss fainting or sobbing on the examination table.

Videos abound on the internet of women describing how their physicians minimized their agony.

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Only four percent of trained physicians in the United States administered injected anesthetics to their patients, even though such measures have been shown to alleviate pain during procedures (US Doctor, 2023).

In a previous Swiss study involving 100 Swiss women, Carevix reduced the incidence of hemorrhage episodes by nearly 80 percent compared to a standard IUD.

A year ago, the FDA authorized Carevix’s manufacturer, Aspivix, to distribute the device to physicians throughout the United States. 

Nonetheless, despite the clearance parameters indicating otherwise, the FDA has yet to assess the device’s safety and efficacy with the same level of rigor that it applies to medical devices such as implantable pacemakers or artificial hearts.

IUDs are among the most effective methods of contraception, with a success rate exceeding 99 percent. This means that the likelihood of conception for an individual using an IUD is less than one in every 100 individuals annually.

Typically, this occurs due to improper insertion of the instrument. 

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