EMLA Cream as Analgesic for Outpatient Gynecological Procedures

The goal of this clinical trial is to compare pain perception in the study participant population undergoing the following gynecological procedures: Intra Uterine Device (IUD) insertion, hysteroscopy, and endometrial biopsy and given either Eutectic Mixture of Local Anesthetics (EMLA) cream or a placebo. The main question to answer is: • Does EMLA cream reduce pain when administered during the following gynecological procedures: IUD insertion, hysteroscopy, and endometrial biopsy? Participants will be asked to do assess their pain on the Visual Analogue Scale through 3 times during the procedure. Researchers will compare the study group with those receiving placebo group to see if there is a difference in pain scores.

Inclusion Criteria: * Patient will undergo one of the following procedures: intra-uterine device insertion, hysteroscopy, or endometrial biopsies Exclusion Criteria: * Known hypersensitivity to amide anesthetics * Pre-existing methemoglobinemia