"i read so many reviews about how painful insertion would be, and i got myself really worked up and was very nervous when i went to see my doctor. i&#039;m happy to say that is wasn&#039;t in the littlest bit painful. i am 26 and do not children. granted i have really bad cramps when i get my period, which is part of the reason i needed birth control. but there was no pain, no pinch, nothing. i felt like i was having a mild period cramp, for about 30 seconds, and then i felt completely fine. no cramping or pain at all afterwards. i took 800mg of ibuprofen about 30 minutes before, and i think that helped a lot. i would rate it about 2/10 on a pain scale, and the &quot;pain&quot; is pressure and mild cramping"