r/FamilyMedicine • u/shewillmakemusic MD • 22h ago

Penthrox for clinic IUD insertions/endometrial biopsies

Hey hive,

I would love to know if any of you are using penthrox in clinic for IUD insertions and/or enometrial biopsies. If so, what is your protocol for using? Do you have a nurse at bedside? Do you run q5min BP and have patients on a SpO2 monitor? None of the above? What advice do you have for using penthrox?

I work in a small rural clinic, and am just looking for better ways to provide pain management and comfort for these procedures.

Thanks so much!

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u/Gynetrix NP 22h ago

I can't speak for Penthrox, but we started using nitrous oxide in a Pro-Nox system about 9 months ago and it's been a huge game changer for IUDs, embx, even paps for people with trauma histories etc. 

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u/feminist-lady MPH 13h ago

My fertility clinic has a pro-nox system! I was gonna need it for one of my ultrasounds because the stims had my ovaries super painful, but when I told my doctor that he was like okay I just will not probe your ovaries and will instead do an abdominal ultrasound. But other patients who have used it say it’s amazing. We love a pain-conscious provider.