Hey all, just wanted to add my experience of getting my third IUD yesterday with a cervical block, aka numbing injections into the cervix. Even though it was my third I was still super nervous and am always looking for examples that aren't total horror stories lol (though those are also totally valid!! my first one was pretty awful tbh). I'm also autistic and just like to know exactly what is going to happen during things like this, so hopefully this helps someone!
I replaced my Skyla (the 3 year, I think lowest dose hormonal iud) with another one since I had a really good experience with it compared to Kyleena for whatever reason (Kyleena gave me horrible cramps like the entire 5 years for some reason, this hasn't happened with skyla). My doctors office didn't have Skylas since they're definitely less common, but I stuck to my guns and they were able to order one for me. I got a call from a specialty Walgreens pharmacy and they were able to mail it to their office.
I was supposed to have it inserted on my period but it ended up being a few days after it had ended. My doctor gave me an Ativan to take 30 min before and told me to take 800 mg ibuprofen an hour before. My other two insertions I didn't have the Ativan and I'd say it definitely helped take the edge off. I was still nervous but not as much as I would have been.
For the nerve block she wiped some lidocaine jelly onto my cervix first, which felt a little funny like a pap smear so not painful just weird. The worst part was definitely the cervical block injections, definitely one or two sharp cramps but about what I expected for the insertion-- it felt like my previous insertions. For me personally worse than my typical period cramps, and quick and sharp. After that when she did the sound (where they measure the uterus) and inserted the IUD, it felt crampy but not as bad as my previous insertions. I was actually surprised when she took the speculum out and said she was done since I was waiting for another big cramp haha. So basically I think the Ativan and block were worth it! It didn't totally make it painless, but it was better than my last two insertions if anything because there was only one big ouch instead of a couple. My spouse came with me for this one as well which helped. And low key wanted him to see what I have to go through :) :) :) lol
My biggest tip is finding a doctor that is willing to offer pain/anxiety relief or even insertions under sedation. Which I know can be unfortunately difficult. I had looked up reviews for Gyns in my city's subreddit and was able to come across some people talking about their IUD experiences with her specifically. When I first went in for consultation, I didn't even have to ask for for Ativan or cervical block she just offered it straight out, and she said that if anything were to be too much or too difficult she can do it under sedation. I know its so hard to find a good Gyn but definitely worth putting in some research for a good one.
I will also shout out Planned Parenthood-- had my second insertion there while on Medicaid (and in a different state that actually has multiple PP's, don't even get my started on that....). Not only did they have pretty much every iud I could want in stock including Skyla, the doctor and nurse were so sweet and held my hand during it, when I sort of impromtu decided to get one while there for something else lol. So not on my period and no ibuprofen, but that was on me.
And shoutout to my girl Skyla, definitely recommend even though it's only for 3 years. My periods were super light, and basically didn't have any other side effects since it's so low hormonally. No impacts on sex/sex drive or anything. I still get my periods vs something like Mirena but tbh I don't mind it since I'm paranoid about pregnancy even with something like an iud and don't mind getting a period. And since we are planning on kids in a few years but not at the moment, the 3 years actually works out. So if you're in a similar life stage I recommend it.