Comment on ‘Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives’

Further comment on the avoidance of pain associated with intrauterine contraceptive insertion

“…I agree with Dr Pillai's remark in her letter2 in the April 2014 Journal that women's concerns around the fitting are the main barrier to improving the woefully low uptake of IUCs in the UK, which in a recent survey for women aged 18–49 years was 10%, in contrast to 19% in Sweden 3. Such a major discrepancy is not caused by any known difference between the UK uterus and the Swedish uterus!…”

Comment on ‘Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives’: authors’ response

“…We thank Dr Pillai for her letter1 about our review article entitled ‘Practical advice of pain associated with insertion of intrauterine contraceptives’ 2. We would like to make the following comments regarding the specific points Dr Pillai raised in her letter.

Dr Pillai suggests that clinicians may wish to sit on a stool with wheels at the side of the couch rather than with the woman at the end of the couch.

…”