I don’t know who this guy is but I feel sorry for his patients. There are so many things wrong with this so imma take it step by step. 1. It does take extra time to give anesthesia. Ignoring the external forces by corporations and insurance companies on the way we practice, doesn’t serve anyone. It’s our reality but the patient is our priority. You as the physician can book extra time, you can adjust the length of your IUD inserts. And always pre-medicate with at least 600mg of ibuprofen. The essentially painless and fastest way I learned to give anesthesia for IUD placements was taught to me by a private practice doc, so it can be done! 2. I’m not even going to touch the money thing. I’ve never been in private practice but again, the best technique I know is from there 🤷🏽‍♀️ 3. Any time you insert anything into the uterus, It. Will. Hurt. This is your uterus’ natural response: the muscle will contract to get whatever that is, out. That contraction is painful. Sometimes it can cause lightheadedness or full on vagal response and syncope (passing out) that does NOT mean you have perforated! I have never heard of anything like this. Most perfs are missed and most women don’t get anesthesia. Knowing the anatomy is essential but that has nothing to do with whether or not the patient should be in pain during the procedure. I’ve had many IUDs places personally over the years, one was without anesthesia and it hurt, did my doc perforate my uterus, nope! This has to be the most ridiculous excuse I’ve heard for why we torture people with these procedures. It does not have to be this way people!! You can ask for anesthesia (preferably when making the appointment so they can plan for it) ALWAYS TAKE IBUPROFEN (600/800mg) BEFORE UNLESS ALLERGIC, NOT TYLENOL! I know it doesn’t seem like much but it makes such a huge difference. If you are getting excuses like in this video, run! #gyn #iud #iudinsertion #obgyn

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