IUD insertion insanity

So today I ended up with access to medical records when I joined a portal at my old doctors office.

I read a sanitized version of my second iud insertion after the first one fell into my uterus. I posted a pic of the description in images.

What really happened. My first iud insertion was maybe ten minutes long. But they were a devastating ten minutes.

For the second go round I took pointless Tylenol before the retrieval/insertion procedure. First I hopped in the stirrups and subjected my poor lady parts to the speculum, which today was the least of my worries. My doctor grabbed the strings with these toothed forceps and yanked the iud out of my uterus through my cervix. And then showed it to me with strings of bloody mucus on it. I mean. There’s really no words. I literally can’t even.

Then the real hellscape began. She clamped my cervix with a tenaculum, stuck a rod in there 8 centimeters deep, and tried to insert the iud. It wouldn’t go. Ok. Let’s stop here. Why the hell is that done to women every single day with no concept on the doctor’s part of how that actually feels? They tell you it’s a pinch and a cramp. You just read that. Does that sound like a pinch and a cramp?

So she tried to get it in there again. By this point I was writhing and crying in pain. She couldn’t get it to sit right so she pulled it out and tried again and I heard her send the nurse out for the cervical dilators. I could not form words other than swearing through the crying, but I can tell you right now there was no way in hell they were going to stick even one of those in me. By this time my legs were tensed up and almost together and my doctor told me to relax. She shoved it in there one more time and just as I was about to tell her to stop, she got it in. The nurse came in with the box of things I wanted to kick out of her hand and instead helped my doctor haul all of that shrapnel out of me. Then she said some words,but I don’t know what they were because I was in a full on panic. They pulled a sheet over me and sent my husband in. He looked at me and saw I was crying and white as a sheet and said what the hell happened to you.

So. I eventually got dressed and he went to pull the truck around and I walked across the hall to my doctor’s schedulers office to get a date to check the strings. She looked up at me and got up from her desk because I was weaving back and forth in her doorway. She grabbed my arm and walked me to the car and said she was going to have my nurse written up for letting that happen to me.

The patient tolerated the procedure well.

Now. I know some women don’t have a big problem with iud placement. But if anyone knows anything about women, you know we are not all alike. That was traumatic. And I would say maybe I can’t tolerate pain. But I was a gymnast and I fell off the balance beam and the bars. I have 7 tattoos, one of which is on my inner thigh. I was in labor for 18 hours before the c-section came along. I have migraines. None of that. Not even the contractions. None of it even comes close to having metal things clamped on, poked in, and shoved through my cervix.

Made a lil promise to myself. No more cervical intrusions without sedation.

All I can say is sending healing thoughts @EnchantedAmethyst . Not that it is a lot of comfort I'm sure. I couldn't even imagine that sort of torture.

Hope things heal up well with no further complications.

It was several years ago, @LordJim2 ,but thanks.

When it’s time to come out again, a conversation will be had.

Hello Enchanted Amethyst,

you had a very painful experience. A new instrument has now been invented so that women are spared the need to hook the cervix lip. It works with vacuum. https://www.aspivix.com/for-women/

Thanks, @VagiDoc

I might buy one of those and make my doctor use it. lol.

Thank you, Switzerland, for finding a better way!

This new device presented by a Swiss manufacturer actually seems to be an alternative to the traditional Pozzi forceps which are generally used in gynecology.

I have not had the opportunity to see this instrument but it is based on the suction cup principle which is already used when installing a hysterography cannula. This works very well when, as with the Bommelaer cannula, the entire snout of the cervix is ​​covered and sucked. I would be curious to see, in use, if “Aspivix” which only grabs part of the cervix is ​​effective enough to provide the traction we will need. Everyone knows that depending on the age of the patient, her history of possible biopsies and the number of pregnancies, the exterior part of the uterus can be more or less torn, scarred or fibrous. In these cases will the suction cup work?

On the other hand, I carefully reread the first post by @EnchantedAmethyst and what I read makes me think that the most painful episode was not the gripping of the cervix with the pliers but the subsequent introduction of the hysterometer and the IUD insertion tube.

It is classic, patients most often feel pain when the instrument that is introduced into their uterus crosses the isthmus between the cervical canal and the interior of the uterine cavity.

As you say, they describe either a fairly intense cramp, or the same sensations as when they have their period.

I do not offer local sedation which does not seem appropriate to me and introduces an additional risk of infection due to the injection. A prescription for a relaxing molecule when making the appointment can be a good solution knowing that, as in any procedure involving the intimate sphere, the patient should be as relaxed as possible and have complete trust in her practitioner.

To complete, I don't think you can buy "Aspivix" directly and ask your doctor to use it. It seems to be for sale only to professionals, it is a single-use device and I could not find the price on the manufacturer's website.

@Franklin58200

I was teasing about buying one. lol.

Relaxing doesn’t help the pain. Trust me. They gave me Xanax. It made me jittery on top of it all.

Nope. Sedation. All I will accept.