{"podcast":{"title":"Dr. Chapa's OBGYN No Spin Podcast","slug":"dr-chapa-s-obgyn-no-spin-podcast-7407953","podcast_index_feed_id":7407953,"rss_url":"https://media.rss.com/dr-chapa-s-obgyn-no-spin-podcast/feed.xml","website_url":"https://drchapasobgynnospin.codeadx.me/","image_url":"https://media.rss.com/dr-chapa-s-obgyn-no-spin-podcast/podcast_cover_20260610_040615_e5100c670a01e631427748b502e678b0.png","author":"Hector Chapa","episode_count":180,"summary":"Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers regarding all things women’s healthcare! This podcast is intended to be clinically relevant, engaging, and FUN, because medical education should NOT be boring! PLUS...we believe that medical education should be delivered without any SPIN...Welcome, to Dr. Chapa's OBGYN No Spin Podcast! (Note: our Legacy podcast, Clinical Pearls, will no longer have new episodes uploaded through that channel, as we have now rebranded with this new adventure.)","last_synced_at":"2026-09-21T10:20:43.682466+00:00","page_url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953"},"episode":{"title":"(MIPI) Multidose Ibuprofen Prior to IUD?","slug":"mipi-multidose-ibuprofen-prior-to-iud","published_at":"2026-07-27T11:00:00+00:00","page_url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953/mipi-multidose-ibuprofen-prior-to-iud","show_page_url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953","url":"https://rss.com/podcasts/dr-chapa-s-obgyn-no-spin-podcast/3017673","audio_url":"https://content.rss.com/episodes/337911/3017673/dr-chapa-s-obgyn-no-spin-podcast/2026_07_25_14_59_24_aaa9f056-f0e7-4c77-b1bd-a19900e13110.mp3","summary":"Today, we’re diving straight into a topic that hits close to home for millions of patients and providers alike: IUD insertion pain, and more importantly, how we can actually make it better. Now, if you’ve been practicing or following clinical guidelines for a while, you know the frustrating backstory here. For years, the standard advice was simple: \"Just take 800 milligrams of ibuprofen an hour before your appointment.\" But a 2015 double-blinded, randomized placebo-controlled clinical trial showed that taking a single dose of 800 mg within an hour before insertion did not relieve procedural pain. That was published in the journal Contraception in 2015. This left clinicians wishing for better options. Fast forward to 2024, when the CDC updated its guidelines to formally recommend local analgesia, like lidocaine blocks or topical use, to help manage insertion pain. That was a huge, long-overdue win for patient-centered care. But local numbing isn't the only tool we should be looking at. What if the issue with oral NSAIDs wasn't the medication itself, but how and when we dosed it? That brings us to a brand-new study published in the American Journal of Obstetrics and Gynecology (AJOG), August 2026. Researchers looked at a preemptive, multidose ibuprofen regimen- starting the day before insertion to reach sustained, therapeutic blood levels ahead of time. And the results? They offer some new insights into how we can stack our pain control strategies. So, let's break down what this study found, how it builds on our CDC guidance, and what it means for our clinical practice starting at our next IUD placement. Let’s jump in. 1. Bednarek PH, Creinin MD, Reeves MF, et al. Contraception. 2015;91(3):193–197. 2. Ouyang C, Lamvu G, Quach H, et al. Multidose Ibuprofen Prior to Intrau…","meta_description":"Today, we’re diving straight into a topic that hits close to home for millions of patients and providers alike: IUD insertion pain, and more importantly,…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1284,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/dr-chapa-s-obgyn-no-spin-podcast-7407953/episodes/mipi-multidose-ibuprofen-prior-to-iud/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-no-spin-podcast-7407953/mipi-multidose-ibuprofen-prior-to-iud.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}