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Fits, faints, and the IUD


 The small risk of fainting or convulsions following IUD insertion is described. The reporting doctors observed 3 cases of convulsions in IUD patients in a 6-month period. None of these patients had a history of seizures, but each had a history of fainting in connection with painful or emotional stimuli. This fact would suggest a vasodepressor syncope. No changes in electroencephalogram and electrocardiogram occurred in the patients. Convulsions probably occurred due to diminished blood flow. Because pain can trigger vasodepresor syncope, use of local anesthesia is recommended.
