"had this placed a two and a half years ago. placing it was easy and pain free. the first year and a half were great. the last year has gotten increasingly worse. lots of break through bleeding. recently spotting lasted for 6 straight weeks. initially advil would stop the spotting (per my doctor&#039;s recommendation) but now nothing does. i would still get it inserted again though. the first year and a half really were great and i had none of the usual birth control side effects. i am getting it removed in a few weeks and my doctor has assured me that she has taken out several and none of the patients have complain removal pain. fingers crossed."