What is the best way to avoid pain with cervical biopsies during colposcopy?
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Interventions do not appear to be effective. Intracervical anesthetic injections decrease pain with cervical biopsy, but may not decrease overall pain during colposcopy. (SOR: B, based on 2 RCTs.) Lidocaine gel, forced cough, and oral ibuprofen do not reduce pain during cervical biopsies. (SOR: B, based on individual RCTs.)
Evidence Based Practice 15(8): 08.