I just discussed IUD replacement with my NP there and had a really productive discussion on my options for pain management. From my NP she is not able to do the shots but I could have another doctor in the practice who is trained and does it. I even said the cramping was really what made it miserable for me and she said the cervix softener she usually prescribes could have cramping as a side effect so that may not be a good option for me. Felt really listened to and was good to know what my options will be when it’s time!

My old doc at GW MFA also did numbing shots before insertion too! Didn’t have any pain at all with insertion (though the cramps afterward were really brutal). My doc did see this wasn’t standard across the practice - though this was 5 years ago!