"i have had 3 kids all via c-section and had mirena inserted over 2 months ago.  for me personally, insertion was not painful at all.  the thing they use to open me up during pap smears was the thing i felt most.  i didn&#039;t use any medication before or after insertion.  i didn&#039;t have any cramping after insertion either.  so far i still have irregular bleeding/spotting.  i&#039;m hoping that goes away soon since it&#039;s been over 2 months.  i have noticed an increase in hair loss, but i can&#039;t be certain it&#039;s from mirena or from a stressful move to a new very hot &amp; humid state.  i haven&#039;t had any mood swings, depression, or acne like others have stated.  so far i&#039;m pleased with it.  and hopefully my bleeding will stop soon so i can rate it a &quot;10&quot;!"