"personally, i feel that the insertion is more about the anticipation. it definitely hurts, but it&#039;s really really not that bad..it is over so quick! i&#039;ve had it for a month now and have had a period for the last 2.5 weeks (it started out as spotting first). cramps almost every day, but they are going away. i am confident this will pass. i will say i was really moody the first week (not sure if that was from feeling achy/anxious about it). no weight gain. no skin changes. still have my sex drive. no pain during sex. overall really happy (i haven&#039;t had kids!)."