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wishred t1_je6ifjv wrote

I go to Jefferson OBGYN (at their nice and free ample parking Navy Yard office) and have had a cervical block (lidocaine injection to cervix) before my most recent mirena was placed last summer. I think they only have a few docs that do it though so you’d have to specify that when making an appointment, the NP I usually see could not do it herself. I (45 yr old, nulliparous) had a previous iud put in with no block/gel and it literally was the most painful pain I have ever felt in my life and I have decent pain tolerance at baseline. So even tho lidocaine injection sounds painful or scary it reduced my insertion pain by about 1 million percent.

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CrazyRedIvan t1_je6lzwf wrote

That is so helpful to know they offer that injection. I had one placed at Jefferson in 2017, and my OB/GYN just told me to take a few Motrin beforehand, then laughed and said "that's what a contraction feels like!" while I'm white as a ghost and almost puking after her 3rd attempt to place it....I definitely want more than Motrin next time.

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CruddierMouse OP t1_je6qibz wrote

The current place I go to is Philadelphia Women’s Health and Wellness center. They told me they could do the lidocaine injection but do not usually recommend it because of how painful it is. I had an IUD inserted before and it was the worst pain I’ve ever felt, other than my appendix about to rupture. Thank you for sharing that because I was afraid of the injection after the provider told me how painful it was.

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wishred t1_je6u9sm wrote

I have had the total IUDs since 2011-first one I got the lidocaine-they just did it, like it was routine, I didn’t know it was a thing to get the lidocaine, that insertion went ok. It was the second one they did with no lidocaine and that was the one I almost threw up, and was bawling crying. There was no way i was going to get this last one without that lidocaine. And yes I heard the same bullshit of “oh that lidocaine injection hurts more than the procedure”, that is a line of shit if I ever heard one. Maybe it’s bc I’ve never birthed a baby that it’s that painful for me, I’m just glad this is my last IUD bc I’m old lol.

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CruddierMouse OP t1_je6y8i1 wrote

That helps me out a lot. Thank you so much. I really appreciate your comment. The pill has been making me feel so sad and it isn’t been a good switch like I thought I would be. I got it out after four years because of hormonal acne, but I still break out on the pill. Grant it, it has only been a month. I regret getting the iud out because the insertion pain was the worst, but if the injection made it easier for you, I trust that.

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localmuffinwhore t1_je8cfbr wrote

If you're trying to solve hormonal acne, I think you should try out the pill for a few more months. I have PCOS and suffered from horrible hormonal acne. It started when I was ~11 and I had terrible, early teen level acne for the next 15 years. IUD didn't do much but the pill pretty much completely got rid of all my acne--it just took ~4-6 months to really clear up my face and then another ~6-8 months for all my deep scarring and hyperpigmentation to fade. With skincare and hormone, 1 month just isn't enough time to make a decision--your body is still getting used to the hormones.

On the other hand, if you feel terrible on it consistently, the acne may be worth it to switch back to the IUD. I also felt terrible on the pill so honestly I made the switch back after years of sacrificing my mental health for clear skin. The pill saved my life though because ~2 years on it stabilized my skin enough that my skin looks nowhere near as bad as it used to. I still get more pimples on the IUD but it's nowhere near what it used to be.

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Lucretian t1_je7fxod wrote

Have you considered Nuvaring?

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CruddierMouse OP t1_je7n816 wrote

Honestly no.

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Lucretian t1_je7p1da wrote

Might be worth asking about. Otherwise the recommendation for Penn’s PEACE clinic is good for what you’re seeking.

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apricot57 t1_je78v0f wrote

So like, the lidocaine injection hurts more than the IUD insertion... because you don't feel the IUD insertion as much after the lidocaine injection! So yes, the lidocaine injection will be the most painful part of the procedure, but that means it's working!!

Anyway, I've had a cervical lidocaine injection and yeah, it hurt. Not a huge amount, though, and it was way better than the alternative.

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CruddierMouse OP t1_je7p5sb wrote

Thank you for that. Have you experienced the lidocaine injection for an iud insertion?

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CruddierMouse OP t1_je6s7ab wrote

Also, the provider I go to said she would give me a Xanax if I had a ride home that day

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mountscary t1_je7u9ku wrote

This happened to me exactly the same. First attempt was one of the most painful experiences of my life. It popped out and I refused to let them try again. I nearly fainted from pain and threw up. Came back a week later and they did a cervical block. Yes it was a little pinch and burn but nothing like the first attempt. Would never do that again without a block.

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CruddierMouse OP t1_jea31o1 wrote

Thank you for sharing your experience. Do you know if they gave you any numbing gel for the shot?

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ArcticLil t1_je8rpjn wrote

Besides parking issues, are the other Jefferson OBGYN locations nice too? I might make an appointment but see mixed reviews

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wishred t1_jeau7o6 wrote

I started out going to the center city office at 833 chestnut, 1st floor/lower level. That was totally fine too. Navy yard is just nicer, newer, quieter.

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