A 16-year-old nulliparous female presents to the pain clinic for discussion of pain management options around placement of an intrauterine device (IUD) for contraception. She has seen the videos on TikTok(1) and is anxious about the potential discomfort during the procedure. She has no significant medical history and is not currently taking any medications. Vital signs are stable. Which of the following is the most effective analgesic technique for pain relief during the procedure?