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a pair of cervical block is not a new concept to the gynecologist this is a technique that has been used for a variety of different office procedures including cervical biopsies endometrial biopsies and leak procedures this is the introduction of an anesthetic at the base of the uterus near the cervix near the Cardinal and uterus achill ligaments to block the pain fibers leaving the uterus a wide variety of medications have been used for pair of cervical blocks but most commonly we use lidocaine either with or without epinephrine the purpose of the epinephrine is to constrict the small blood vessels thus causing the anesthetic to remain locally for a greater period of time lidocaine has the advantage of being very rapidly acting therefore the effectiveness is very quick however its effect wears off relatively quickly as well this has led some patients to prefer the effect of marcaine which is a more long-acting anesthetic the disadvantage is that it takes a little longer to achieve an
