Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Reduction During Intrauterine Device (IUD) Insertion in Outpatient Gynecology
Randomized, Placebo-Controlled Study on the Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Reduction During Intrauterine Device (IUD) Insertion in Outpatient Gynecology
1 other identifier
interventional
60
1 country
1
Brief Summary
Pain with intrauterine device (IUD) insertion is very common and there are few options for patients to help reduce this pain. Transcutaneous electric nerve stimulators (TENS) are a non-invasive procedure that may help reduce the pain with IUD insertions. The investigators hope that the information gleaned from this study will result in pain control options for future patients who desire an IUD placement.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2024
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 21, 2024
CompletedFirst Posted
Study publicly available on registry
March 28, 2024
CompletedStudy Start
First participant enrolled
June 5, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 7, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 7, 2025
CompletedResults Posted
Study results publicly available
March 2, 2026
CompletedMarch 2, 2026
February 1, 2026
8 months
March 21, 2024
January 20, 2026
February 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain During IUD Insertion as Measured by the VAS Score
The VAS score is a score of 0-10 with 0 being no pain and 10 being the worse pain imaginable
IUD placement/introducer removal up to 5 minute
Secondary Outcomes (4)
Pain During IUD Insertion as Measured by the VAS Score
speculum placement up to 1 minute
Pain During IUD Insertion as Measured by the VAS Score
tenaculum placement up to 1 minute
Pain During IUD Insertion as Measured by the VAS Score
sound insertion up to 5 minute
Pain Post IUD Insertion as Measured by the VAS Score
5 minute post IUD insertion
Other Outcomes (1)
Pain Prior to IUD Insertion as Measured by the VAS Score
baseline
Study Arms (2)
Active TENS unit
EXPERIMENTALAll patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients in this arm will have the TENS unit turned on to a 80 hz preset frequency with 100 mA as the pulse width.
Non-active TENS unit
PLACEBO COMPARATORAll patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will not have the TENS unit turned on.
Interventions
All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will have the TENS unit turned on and half will have the TENS unit turned on to a 80 hz preset frequency with 100 mA as the pulse width.
All patients will have the TENS unit applied: 2 pads from channel 1 will be at T10-L1 and the second set of pads will be from S2-S4; 5 minutes prior to the start of the procedure. Patients will have the TENS unit will not be turned on.
Eligibility Criteria
You may qualify if:
- Age 18-45 years old
- Individuals with a cervix and uterus
- Seeking intrauterine device (IUD) placement for contraception or management of abnormal uterine bleeding
- Meet medical eligibility for IUD placement
- Ability to consent in English
- Ability to use the visual analogue scale (VAS)
You may not qualify if:
- Contraindications to IUD placement
- Use of analgesics within the last 4 hours prior to IUD placement
- Presence of a pacemaker
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospitals
Cleveland, Ohio, 44106, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Jean Marino
- Organization
- University Hospitals Cleveland Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Jean M Marino, APRN-CNP
University Hospitals
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 21, 2024
First Posted
March 28, 2024
Study Start
June 5, 2024
Primary Completion
February 7, 2025
Study Completion
February 7, 2025
Last Updated
March 2, 2026
Results First Posted
March 2, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share