"please don&#039;t be afraid to try this! i&#039;m 36 with no children, had to come off pill for health reasons.  dr said it was great for women my age.  i was scared to death from all these reviews.  but i gave it a try.  yes, insertion was terribly painful (and i&#039;m a tough cookie), after a few hours of cramping, my ibuprofen did the job and i felt better. had a sore back the next day and thats been it. no bleeding (insertion during my cycle) since.  i&#039;ve been working out and actually have started to lose weight.  no acne or moodiness, although its only been a week.  please give it a try and enjoy your built in birth control."