How painful is IUD placement with anti-anxiety and pain medications?

Hi all, was wondering what other people’s experience having an IUD when done with anti-anxiety and pain medications.

For context: I have a history of PTSD and sexual violence and abuse. My hormonal birth control (Yaz) was giving me a lot of issues, and I wanted to try an IUD so I could have local, rather than systemic, release of hormones.

My gynecologist initially recommended me to do an IUD under twilight sedation, due to my history of abuse. However, insurance won’t pay for it, and the cost of the procedure would put me in an insane amount of medical debt.

My gynecologist recommended a Xanax, Norco (hydrocodone (an opioid) + acetaminophen), and a Tylenol for the procedure instead, but I’m still freaking out about how painful and invasive the procedure could be.

I’ve tried calling other gynecologists in the area to ask what pain management techniques their doctors provide, but a lot of the offices I’ve tried to talk to either say they don’t offer pain management or won’t tell me what type of pain mqanagement they could provide. They’ve been unbelievably unhelpful and rude, and I don’t feel like I have any other options.

My question for the group: I was curious if other people had done an IUD placement with similar medications. Was an anxiety medication and an opioid enough? I’ve never used any of these medications in the past, and I don’t know what to expect or if it will be enough.