Oral Ketorolac for IUD Pain Reduction

Inclusion Criteria: * 18 years or older * Able to consent * Desires IUD insertion Exclusion Criteria: * IUD placement under sedation or oral anxiolytic * IUD replacement (removal with insertion) * Daily narcotic or NSAID use * Contraindications to IUD placement * Current: pregnancy, genital/pelvic infection * Lifetime history: uterine anomaly, pelvic inflammatory disease, allergy to levonorgestrel or copper * Contraindications to ketorolac * Current: weight under 50 kilograms * Lifetime history: allergy to NSAIDs, liver disease, renal disease, peptic ulcer disease, cerebrovascular bleeding, gastrointestinal bleeding