"first off, remember this is a long term birth control so you have to give your body time to adjust effectively. this device stays in for years! the insertion process was painful for me being i&#039;ve never had kids so the dr. manually opening my cervix to insert the iud was the worst part. following the procedure, a friend took me home because of the cramping it caused but after a couple hours i felt okay to drive. there was spotting for a month and slowed down to the point i now spot maybee 2 days a month. i&#039;ve now had it for 5 months and get cramps from time to time but they arent bad ones. i think my body is still adjusting some. i would overall suggest it to those who are preventing pregnancy more than preventing periods and cramps."