Clinical scenario: Vasovagal reaction during an IUD insertion

What providers need to know about recognizing, responding, and preventing vasovagal syncope.
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The scenario:

A 24-year-old (she/they) presents to your health center requesting an IUD. They filled out her intake form online and noted they are “nervous about procedures.” As you are sounding their uterus, they say they feel “kind of weird.” You ask for more detail, and they report they are a little sweaty and like they need to go to the bathroom. The medical assistant notes that their face has “gone pale.”

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