This fact sheet offers patients and clinicians a menu of options to manage pain during gynecologic procedures in an office setting, like IUD placement and removal, cervical or endometrial biopsies, colposcopy, uterine suction (e.g. abortion, miscarriage management), pap smears, and other common gynecologic care. Methods include: comfort options, non-steroidal anti-inflammatory drugs like ibuprofen and naproxen, anti-anxiety medications, cervical block, and more. Not all of these options may be available or appropriate for you. Use this guide to learn about options that could help manage pain and/or anxiety. Talk to your clinician to develop a plan that works best for you. Clinicians can use this resource to start a conversation with their patients about pain management. Created by Miriam Rienstra-Bareman, MD. Acknowledgements: Taylor Stanton, MD and Taylor Knowles, MD