"i have had the mirena now for 3 months and the initial insertion was horrible, i didn&#039;t know to take ibuprofen, because although i had read up on side effects and the insertion i didn&#039;t see about taking anything nor did i think to. i have a relatively tight vagina as well which makes gyn appointments no fun already but i&#039;m not one for taking pills so again i didn&#039;t think to. 

that said, the insertion was terrible, so painful i passed out on a the table and the pain continued for hours only to be subsided when i was given an 800mg ibuprofen. i cramp slightly more but bleed a lot less, the only big difference i&#039;ve seen lately is it is so hard to sleep and ian anxious all the time. otherwise so far so good i guess."