2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T684,A prominent barrier to broader intrauterine device (IUD) uptake is the fear of pain and discomfort associated with insertion of the device. To examine the pain level perceived during IUD insertion and identify factors associated with perceived pain during the insertion procedure. We conducted a secondary analysis of nationally representative survey data from Australian women using IUDs. We explored self-reported pain perception during IUD insertion retrospectively. We asked women about pregnancy history, mental health and their perceived knowledge about the IUD method they were using at the time of the survey. Ordinal logistic regression was employed to analyse associations between these factors and pain perception. A total of 347 respondents were using an IUD and reported on pain perception during IUD insertion. One in five women reported experiencing severe pain during IUD insertion and approximately one in two women reported experiencing mild or no pain during this procedure. Having a current mental health condition, having more than one previous pregnancy and higher self-perceived knowledge about IUD groups were associated with more perceived pain. These findings highlight the need for healthcare providers to consider the complex interplay of factors affecting pain perception during IUD insertion, prioritise individualized pain management strategies and address perceived knowledge surrounding IUDs, particularly in women with mental health conditions. Exploring ways to improve the experience of women during IUD insertion may contribute to positive discourse around IUDs and to encourage others to select an IUD as a contraceptive approach.31:T9a4,ABSTRACT Background A prominent barrier to broader intrauterine device (IUD) uptake is the fear of pain and discomfort associated with insertion of the device. Aim To examine the pain level perceived during IUD insertion and identify factors associated with perceived pain during the insertion procedure. Materials and Methods We conducted a secondary analysis of nationally representative survey data from Australian women using IUDs. We explored self‐reported pain perception during IUD insertion retrospectively. We asked women about pregnancy history, mental health and their perceived knowledge about the IUD method they were using at the time of the survey. Ordinal logistic regression was employed to analyse associations between these factors and pain perception. Results A total of 347 respondents were using an IUD and reported on pain perception during IUD insertion. One in five women reported experiencing severe pain during IUD insertion and approximately one in two women reported experiencing mild or no pain during this procedure. Having a current mental health condition, having more than one previous pregnancy and higher self‐perceived knowledge about IUD groups were associated with more perceived pain. Conclusions These findings highlight the need for healthcare providers to consider the complex interplay of factors affecting pain perception during IUD insertion, prioritise individualized pain management strategies and address perceived knowledge surrounding IUDs, particularly in women with mental health conditions. Exploring ways to improve the experience of women during IUD insertion may contribute to positive discourse around IUDs and to encourage others to select an IUD as a contraceptive approach. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"IUD Insertion Pain: condition Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on IUD Insertion Pain (condition). Clinician-written summaries and actionable practice insights. 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One in five women reported experiencing severe pain during IUD insertion and approximately one in two women reported experiencing mild or no pain during this procedure. Having a current mental health condition, having more than one previous pregnancy and higher self-perceived knowledge about IUD groups were associated with more perceived pain.","abstract":"$30","keywords":["contraceptive IUD","knowledge","mental health","pain","regression analysis"],"pubmed_id":"41969241","conclusions":"","publication_date":"2026-04-13T00:00:00"},"crossref":{"DOI":"10.1111/ajo.70125","URL":"https://doi.org/10.1111/ajo.70125","ISSN":["0004-8666","1479-828X"],"link":[{"URL":"https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.70125","content-type":"application/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https://obgyn.onlinelibrary.wiley.com/doi/full-xml/10.1111/ajo.70125","content-type":"application/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.70125","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":"2","score":1,"title":["Factors Associated With Pain Related to Insertion of a Contraceptive Intrauterine Device: Findings of a National Survey"],"author":[{"given":"Vera","family":"Camões‐Costa","sequence":"first","affiliation":[{"name":"Department of General Practice, School of Public Health and Preventive Medicine Monash University Melbourne Australia"}]},{"given":"Charlotte","family":"Kwok","sequence":"additional","affiliation":[{"name":"Department of General Practice, School of Public Health and Preventive Medicine Monash University Melbourne Australia"}]},{"given":"Michaela","family":"Pascoe","sequence":"additional","affiliation":[{"name":"Department of General Practice, School of Public Health and Preventive Medicine Monash University Melbourne Australia"}]},{"given":"Sarah","family":"White","sequence":"additional","affiliation":[{"name":"Jean Hailes for Women's Health Melbourne Australia"}]},{"given":"A. 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In multivariate analysis, current mental health condition, more than one prior pregnancy, and higher self-perceived IUD knowledge were each independently associated with greater pain perception; age was not significant after adjustment.","limitations":"- Retrospective recall of pain (IUDs can stay in place up to 10 years), introducing recall bias likely toward underreporting severity.\n- Pregnancy history lacked detail on mode of delivery or outcome (vaginal birth, caesarean, miscarriage, abortion), limiting interpretation.\n- Mental health assessed by a single non-validated item capturing only functionally impairing conditions; specific diagnoses (e.g., anxiety vs. depression) and timing relative to insertion were not captured.","practice_takeaway":"Screen IUD candidates for mental health conditions and assess the quality—not just level—of their IUD knowledge before insertion, correcting misinformation early. 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