"i got my very first mirena put in five years ago.  that experience was a little painful.  only because i have never had children and my cervix is quite small.  my ob/gyn had to dilate me to insert it.  it was only about 5 minutes of intense cramping but it wasn&#039;t awful.  after i had it inserted, i spotted and cramped for one day.  fast forward five years later.  i just had that one removed and my second one put in.  no pain for the removal, just a slight pinch.  much easier time getting the second one.  again, only spotted and slight cramping for one day.   for the five years that i had the first one, i only spotted periodically.  nothing more.  i have the mirena not only for pregnancy prevention, but for a medical issue as well.  i love it"