CClinicalTrials.gg
CompletedNCT01001897Updated Jun 14, 2012

Use of Misoprostol for Intrauterine Device (IUD) Insertion in Nulliparous Women

An interventional study of Misoprostol and Placebo in Contraception, sponsored by University of Arizona. Completed at 2 sites in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-06-14.

Sponsored by University of Arizona · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The purpose of this study is to evaluate if the use of misoprostol can make it easier for a provider, and less painful for a woman, to place an IUD if she has never had a child before.

Read the detailed description

IUD's are a tremendously effective long acting, reversible method of contraception, and they require little participation from the woman after insertion. Despite these benefits, few women in the US use an IUD. Education is important so that both providers and women understand that IUD's are safe and effective in women even if they have never had a child. Insertion of an IUD in nulliparous patients can be more difficult and uncomfortable. The purpose of this study is to see if use of misoprostol prior to IUD placement in nulliparous women can make it easier and less painful. The goal is that more information on the feasibility and ease of IUD insertion will make it more accessible to more women. The findings from this trial will be used in a prospective meta analysis on this topic.

02

Conditions studied

  • Contraception

Keywords

  • IUD insertion
  • nulliparous women
  • contraception
03

In context

Lead sponsor

University of Arizona is the lead sponsor of 465 studies on the registry; 86 are open to participants now.

Of its 47 completed or terminated interventional studies of FDA-regulated products, 29 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Nulliparous, no prior pregnancy beyond 14 week
  • Over 18 years of age
  • Negative pregnancy test

Exclusion criteria

Exclusion Criteria:

  • current pregnancy or pregnancy within 6 weeks
  • current cervicitis or PID (active or within 3 months)
  • undiagnosed abnormal uterine bleeding
  • allergy to copper/ Wilson's disease (for Paragard)
  • cervical or uterine cancer
  • uterine anomaly altering uterine cavity
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    misoprostol

    400 micrograms of misoprostol inserted buccally or vaginally prior to IUD insertion

    Drug: Misoprostol

  • Placebo comparator
    Placebo

    Troches identical to experimental drug inserted buccally or vaginally prior to IUD insertion

    Drug: Placebo

Interventions

  • DrugMisoprostol

    400 micrograms of misoprostol or placebo inserted buccally or vaginally prior to IUD insertion

  • DrugPlacebo

    400 micrograms of misoprostol or placebo inserted buccally or vaginally prior to IUD insertion

06

What researchers measure

Primary outcomes

  1. The primary outcome measure is worst perceived pain during the IUD insertion procedure, on a 100 mm visual analogue scale

    Time frame: after IUD insertion

Secondary outcomes

  1. Need to use adjuvant measures for IUD placement, such as dilation, ultrasound guidance, anesthesia

    Time frame: during IUD insertion

  2. Side effects of medications

    Time frame: prior to IUD insertion

  3. Provider perceived ease of insertion on a 100 mm visual analogue scale

    Time frame: after IUD insertion

  4. Acceptability of wait time prior to IUD placement

    Time frame: 1 week after IUD insertion

  5. Procedure complications

    Time frame: Up to 1 month after IUD placement

  6. Acceptability of total IUD placement process, would you recommend this to a friend?

    Time frame: 1 week and 1 month after IUD insertion

07

Study locations

2 sites
  • UPH-Kino multispecialty clinic
    Tucson, Arizona 85713, United States
  • University Medical Center Ob/Gyn clinic 8OPC
    Tucson, Arizona 85724, United States
08

References and documents

Publications

  • Espey E, Singh RH, Leeman L, Ogburn T, Fowler K, Greene H. Misoprostol for intrauterine device insertion in nulliparous women: a randomized controlled trial. Am J Obstet Gynecol. 2014 Mar;210(3):208.e1-5. doi: 10.1016/j.ajog.2013.11.018. Epub 2013 Nov 8. PubMed 24215850 ↗
  • Turok DK, Espey E, Edelman AB, Lotke PS, Lathrop EH, Teal SB, Jacobson JC, Simonsen SE, Schulz KF. The methodology for developing a prospective meta-analysis in the family planning community. Trials. 2011 Apr 29;12:104. doi: 10.1186/1745-6215-12-104. PubMed 21527040 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 14, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01001897
Lead sponsor
University of Arizona
Responsible party
Pam Lotke (Principal Investigator, University of Arizona) — Principal investigator
First posted
Oct 27, 2009
Start date
Oct 2009
Primary completion
Jan 2011
Completion
Apr 2011
Last update
Jun 14, 2012

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2012. You cannot join it, but the record below documents what was studied.

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