05/09/2026
Why Is an IUD Sometimes Described as ‘Just a Pinch’?
It's just a pinch. For some women, that description can feel very misleading.
IUD insertion is usually a short procedure, but short does not mean painless.
Some people experience mild discomfort. Others experience more severe pain or cramping.
And there is no reliable way for a healthcare professional to know exactly how painful the insertion will be for an individual patient beforehand. The procedure can involve several steps, including:
• Inserting a speculum
• Holding the cervix
• Measuring the uterus
• Passing the IUD through the cervix
• Placing the device inside the uterus
Different steps can cause different sensations. The good news is that pain-management options exist.
Current CDC guidance says patients should be counselled about possible pain and available pain-management options. Lidocaine, including a paracervical block or some topical forms, may help reduce pain in some patients.
N. B. The goal shouldn't be to convince women that a procedure “won't hurt.”
The goal should be to explain honestly what they may feel and discuss reasonable options for managing pain.
Let's talk: Would you prefer a doctor to say, “you may feel pain” rather than “It's just a pinch”?
For awareness and educational purposes.