"i got the mirena tuesday of this week. i was very weary about the insertion because i work at the obgyn &amp; have seen the good along with the very painful inserts. i get high blood pressure with the pill and saw that the mirena was 100% covered by my insurance so i thought i would give it a try. insertion is best while you are in your menstrual cycle because it causes your cervix to dilate. with that being said i have not had children and got the mirena during my cycle, i was barely spotting. insert gave a small cramp to my surprise much easier than i was setting myself up for in my mind. if you follow direction &amp; take advil or ibuprofen every 4-6 starting 1 hour prior insert &amp; 5 days post same routine that will rid of cramps &amp; bleeding. very satisfied- no cramps or bleeding!"