"i got my liletta inserted 3 days ago, i was scared after reading the reviews. the insertion took about 10 mins... it was not painful at all. it was more of a pinch here and there that only lasted a few seconds. once my dr. was done i had mild cramps for about 15-20mins. but nothing major no where close to period cramps. my dr. recommended liletta because i am unable to have estrogen. i was previously on the pill and developed blood clots. i now have two in my lungs and several in my legs. since i am on blood thinners, this is not a good time to become pregnant. so far no bleeding, i spotted the day of the insertion but that was it. i will leave another review in 90 days. ♀"