{"title":"Ultrasound Guidance Can Reduce IUD Insertion Time.","authors":"Nayoung Sung, Sally Wonderly, Verna Marquez","doi":"10.1370/afm.240573","DOIUrl":null,"url":null,"abstract":"<p><p>We investigated whether ultrasound (US)-guided intrauterine device (IUD) insertion reduces procedure time and pain compared to conventional methods. A quasi-randomized prospective study at a Federally Qualified Teaching Health Center enrolled a total of 50 IUD insertion cases. In the US-guided group (n = 25), IUD insertion was performed under transabdominal US guidance without uterine sounding and bimanual examination. In the conventional group (n = 22), insertion was followed by bimanual examination and uterine sounding. The procedure time was significantly shorter in the US-guided group (<i>P</i> = .033), while pain scores were not different between the groups (<i>P</i> = .161). Transabdominal US guidance during IUD insertion may enhance procedural efficiency and serve as a valuable tool in teaching health centers.</p>","PeriodicalId":50973,"journal":{"name":"Annals of Family Medicine","volume":"23 5","pages":"460-462"},"PeriodicalIF":5.1000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459686/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Family Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1370/afm.240573","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
We investigated whether ultrasound (US)-guided intrauterine device (IUD) insertion reduces procedure time and pain compared to conventional methods. A quasi-randomized prospective study at a Federally Qualified Teaching Health Center enrolled a total of 50 IUD insertion cases. In the US-guided group (n = 25), IUD insertion was performed under transabdominal US guidance without uterine sounding and bimanual examination. In the conventional group (n = 22), insertion was followed by bimanual examination and uterine sounding. The procedure time was significantly shorter in the US-guided group (P = .033), while pain scores were not different between the groups (P = .161). Transabdominal US guidance during IUD insertion may enhance procedural efficiency and serve as a valuable tool in teaching health centers.
期刊介绍：
The Annals of Family Medicine is a peer-reviewed research journal to meet the needs of scientists, practitioners, policymakers, and the patients and communities they serve.
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