"had it for years and love it. changed it out after not having a period for years and boy it was painful. my first mirena was nearly painless - just a little tuck. this time it stabbed me hard a few times (quite painful)  but each time it was over in seconds. i had menstrual cramps for an hour and that was it. i didn&#039;t even get my bleeding back (just a little right afterwards). yeah! may advice:
 if you choose the mirena be patient - the first year i constantly bleed off and on but then my period disappeared. find a doctor who has done this a lot - i believe experience is the key! also - have it done when your cervix is dilated during your period. i took misoprostol for that the night before but that did not help."