"i aimost didn&#039;t go through after reading these reviews. i have had liletta for about 2 months. i have no tolerance for pain whatsoever. i took a tramadol 2 hours before my appointment. my doctor advised that it would be painful for a short while especially since i have never been pregnant. she was very good during the insertion about letting me know when pain would occur. it was very painful for about 3-4 hours. after that, it was similar to my normal cramps for 2 days. i spotted for the first 4 days just enough for a panty liner, not even a pad, and have not had any spotting since. i have had no issues with my boyfriend and the strings or being dry &quot;down there&quot; as i have read with some others. my sex drive has increased since having it."