"i got kyleena inserted on 4/20 for my extremely painful periods. yes, the day of insertion was hell on earth. the 2 cramps that occurred during the insertion were the worst pains i have ever felt. tears ran down my face, i became white as a sheet, &amp; almost passed out (i also took 800mg of ibuprofen 40 minutes prior). the nurse brought me water, &amp; i was ok to get up and walk to my car after 5-7 minutes of laying down. buy the heating pads that stick inside your underwear! they are a life saver. those, ibuprofen, hot tea, &amp; a snuggly boyfriend were very helpful. i had cramps &amp; spotting for 2 days after &amp; have not had any symptoms since except for some minor rare cramping. i love it! the initial pain is well worth the benefits now. :)"