Conditions: Contraception
Keywords: intrauterine device cervical dilation nulliparous women pain management
Allocation: RANDOMIZED | Intervention model: PARALLEL
Enrollment: 40
Healthy volunteers: yes

Brief summary:
The purpose of this study is to see if using misoprostol (a medication that softens the cervix) before placing an intrauterine device for contraception reduces pain in women who have never delivered a baby.

Detailed description:
The investigators intend to conduct a randomized double blind study at Oregon Health and Science University and Planned Parenthood of the Columbia Willamette.

Subjects will be approached only after deciding to get an intrauterine. When the participants return for intrauterine device placement, at 90 minutes prior to the procedure half will receive misoprostol and half will receive placebo. The subjects will be asked to rate their level of pain at specific points during the insertion. Providers will be asked to mark whether or not additional dilation was required as well as their perceived ease of intrauterine device placement.

Arms:
arm 1: Cervical preparation with misoprostol prior to intrauterine device insertion arm 2: Cervical preparation with placebo prior to intrauterine device insertion

Interventions: intervention 1: Misoprostol intervention 2: Magnesium Oxide
Intervention descriptions: intervention 1: Place 2 tablets between the teeth and cheek and allow to dissolve for 30 minutes. intervention 2: Place 2 tablets between the teeth and cheek and allow to dissolve for 30 minutes.

Protocol document: