"i&#039;ve had kyleena for a week and a half- i love it. ibuprofen (800mg) an hour before, insert was 4/10 pain scale (lasted less than 1 minute), uncomfortable for an hour after- but functioning to drive home and run to the market, took it easy the rest of the night. i&#039;ve had zero cramps, zero spotting, i feel perfectly normal. i had sex 24 hours after being insterted. i did use comdoms (my doc said i didn&#039;t have too but wanted to be safe). there are good and bad reviews, is encourage you to get it for yourself. if you don&#039;t like it- removal is supposed to be easier than inserting. i love this and knowing i&#039;m protected for 5 years against unwanted pregnancy. good luck!"