"i was not on my period, had no medication to open my cervix, and had no numbing spray. the insertion was painful for about 30 seconds. i was sweating, had abdominal cramps that felt like i was going to have diarrhea, and some menstrual cramps. i had bad cramps for about 2 hours after insertion. i had no bleeding after insertion &amp; didn&#039;t have a period until 8 weeks later. i recommend having someone drive you home &amp; taking a heating pad with you. take motrin like an hour before you go. i would 100% do it again &amp; hope that the rest of my time with it works out. so far i feel like my sex drive has increased which had always been a problem on other birth control. my husband cannot feel it my doc says the strings are wrapped around my cervix."