Applying Num Vapocoolant Spray to Cervix Before Paracervical Block to Decrease Pain During Gynecology Procedures

Inclusion Criteria: * Age 18 years of age or older Undergoing a procedure requiring paracervical block English-speaking Able and willing to sign the informed consent form and agree to terms of the study Exclusion Criteria: * Required or requested narcotics, anxiolytics, IV sedation, or general anesthesia for the procedure Declines or has a contraindication/allergy to ibuprofen Previously received vapocoolant spray in a medical setting Contraindications or allergies to lidocaine for paracervical block or vapocoolant spray components (1,1,3,3-pentafluoropropaine or 1,1,1,2-tetrafluroethane)