Is there anything I should know ahead of my IUD insertion appointment, especially about pain management?

Yes, you can ask your provider to give you something for the pain or anxiety. However, 600 mg of ibuprofen with food, 30-60 minutes before the procedure should be enough. You should also ask for a paracervical block, which will numb your cervix. I also suggest scheduling your appointment on the last day of your period, if possible, because then your cervix is already open.