Pain relief for women with cervical intraepithelial neoplasia undergoing colposcopy treatment

Pain Management for Gynecologic Procedures in the Office

“…A recent Cochrane review of 17 randomized controlled trials examined several strategies to increase patient comfort during LEEP conization. 61 Naproxen 550 mg 30 minutes prior to the LEEP was not found to benefit women during the procedure but reduced the need for medications afterward. Local anesthesia with a vasoconstrictor yields better pain control and less blood loss than local anesthesia alone.…”

“…Oral analgesia, such as NSAIDs, topical lidocaine-prilocaine cream, or lignocaine or benzocaine sprays were found to be ineffective strategies for pain control during colposcopy. [61][62][63] Several randomized controlled trials have found that forced coughing during cervical biopsy is equivalent to injected 1% lidocaine. Two studies compared the administration of 0.5 to 2 mL of 1% lidocaine into the cervical stroma 1 minute prior to biopsy to forced coughing during biopsy.…”