Informed Consent & Clear Communication

• Clinicians explain each step of the procedure before it happens, including what they'll do, how it may feel, and why it's necessary.

• All side effects are clearly explained.

• Alternatives are offered when available.

• Patients are told upfront they may pause or stop the procedure at any time — using a safeword or signals like “green, yellow, red.”
   

Trauma-Informed, Identity-Affirming Care

• Patients are asked if they have a history of sexual trauma and whether they need any special considerations (e.g. gender of provider, language preferences, or ongoing consent checks).

• The clinical team is briefed on the patient’s gender identity and preferences (e.g. pronouns, anatomy-related language).

   

Physical & Emotional Support During Insertion

• Chaperone or patient advocate is present throughout the procedure.

• Blood pressure is monitored before, during, and after insertion.

• Patients are advised not to drive afterward and are encouraged to arrange a ride.

   

Comfort Measures & Pain Management

• Patients are instructed to take Naprogesic two hours before and immediately after the procedure.

• A comfortable speculum is selected based on the patient’s anatomy and needs (including considerations like hymenal tissue, vaginal septum, or excess tissue).

• Self-insertion of the speculum is offered.

• Lidocaine injection is available upon request.*


Penthrox is offered for pain relief during insertion, when deemed appropriate by the clinician.*