There has been long-overdue progress towards tackling the problem of painful gynaecological procedures such as hysteroscopies and some intrauterine device contraceptive coil fittings. The relevant guidelines from the Royal College of Obstetricians and Gynaecologists and the College of Sexual and Reproductive Healthcare on avoiding unnecessary pain are now good and comprehensive. We welcome evidence that many sexual health services are now adopting improved practice in relation to coil fittings. However, concern remains that improved pain management is still not being applied consistently, and women are still enduring unnecessary pain. (Conclusion, Paragraph 116)