Social Media Descriptions of Pain and Pain Management During Intrauterine Device Insertion: "Women's Pain is Not Taken Seriously".

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues Pub Date : 2025-09-22 DOI:10.1016/j.whi.2025.08.002

Gabrielle Schweitzer, Azza Elrashid, Lakshmi Sundaresan, Kathleen Mehari, Lauren Owens, Lauren D Oshman

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引用次数: 0

Abstract

Introduction: Intrauterine devices (IUDs) are a highly effective and safe method of contraception, yet IUD insertion can be painful. Social media is a trusted source of health information for reproductive-age adults and accounts of painful and traumatic insertion are prevalent on social media. The aim of this study was to explore the experiences of social media users with pain, trauma, and pain management during IUD insertion.

Methods: We identified common IUD-related hashtags or search terms on TikTok, Instagram, and Twitter; identified the top posts (defined as the posts at the top of each search) and their comments for each hashtag or search term on each platform; performed directed qualitative content analysis; and summarized code frequency under each theme with descriptive statistics.

Results: Analysis of a total of 214 total posts and comments identified three major themes describing user experiences: 1) Severe pain experiences were more common than tolerable or mild experiences, 2) some participants shared traumatic and negative emotional responses, and 3) negative or dismissive health care professional responses to painful IUD insertion were more frequent than positive and supportive responses.

Conclusion: Health care professionals should be aware of common narratives on social media and provide trauma-informed pain management to ensure that all patients have appropriate counseling for IUDs.

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社交媒体对宫内节育器插入过程中疼痛和疼痛管理的描述：“女性的疼痛没有被认真对待”。

导读：宫内节育器（IUD）是一种非常有效和安全的避孕方法，但宫内节育器的插入可能是痛苦的。社交媒体是育龄成年人健康信息的可靠来源，关于痛苦和创伤插入的描述在社交媒体上很普遍。本研究的目的是探讨社交媒体用户在宫内节育器插入过程中疼痛、创伤和疼痛管理的经历。方法：我们确定了TikTok、Instagram和Twitter上常见的宫内节育器相关标签或搜索词；识别每个平台上每个标签或搜索词的热门帖子（定义为每个搜索顶部的帖子）及其评论；进行定向定性含量分析；并对各主题下的代码频率进行了描述性统计。结果：对214篇帖子和评论的分析确定了描述用户体验的三个主要主题：1)重度疼痛体验比可忍受或轻度体验更常见；2)一些参与者分享创伤性和负面情绪反应；3)对痛苦的宫内节育器插入的负面或轻蔑的医疗专业人员反应比积极和支持的反应更频繁。结论：卫生保健专业人员应了解社交媒体上的常见叙述，并提供创伤知情的疼痛管理，以确保所有患者都有适当的宫内节育器咨询。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Womens Health Issues Multiple-

CiteScore

4.50

自引率

6.20%

发文量

审稿时长

32 days

期刊介绍： Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.