"please don&#039;t let bad reviews prevent you from trying kyleena!!!! i got mine inserted on 09/05/17. insertion was not painful. it was more uncomfortable than anything. got mine inserted a week and a half before my period and it still didn&#039;t hurt. i took 800mg of ibuprofen approx. 2 hours prior to insertion. after insertion i had no cramps and spotted for about an hour. everyone reacts to pain differently. so don&#039;t let the bad reviews keep you from trying this bc out. will do updated reviews after 1 month and 6 months."