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What symptoms are experienced during intrauterine contraceptive device ( IUCD) insertion?

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What symptoms are experienced during intrauterine contraceptive device ( IUCD) insertion?

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Most discomfort (menstrual-like cramps) associated with the insertion of an IUCD can be prevented by using local anaesthetic prior to any uterine manipulation and by ingestion of a non-steroidal anti-inflammatory (NSAID) 1 hour before the procedure. Rarely a woman will experience a vagal reaction in which her pulse slows abruptly due to pain and or anxiety associated with the insertion. In such a circumstance the device should be promptly removed and supportive measures taken (including possible intravenous injection of atropine).

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