"let me start about the insertion of the iud. it&#039;s not just a small pinch especially if your cervical is small like mine it will hurt and after the pain is terrible bad cramping . after during my six week follow up i was scared to use a tampon because i was scared it was going to touch the string . how ever sex my sex drive decreased. before i would be crazy now i&#039;m just okay but scared to be rough because i&#039;m still afraid he was going to touch it . and a lot of out the blew spotting and period . the cramping pain level is 8-10 depending on you . but it&#039;s go away come back five minutes later worse than before. i do not recommend you to get it terrible . i would rather have weight gain vs periods and weeks of spotting terrible cramps ."