"i am on my 3rd mirena. i had one in my late 20&#039;s before i had children and have had one after each of my kids were born.  the first insertion was the most painful but was managed well with ibuprofen.  when i had it removed the dr. told me to wait one full cycle before trying to get pregnant.  i was pregnant the first month we tried.  after my son was born i had a new mirena and had it removed after a year and became pregnant with my daughter the first month after my full cycle.  the pain of insertion is worth it, i have no periods, no headaches, no moodiness and my husband doesn&#039;t seem to notice it is even there!  i highly recommend mirena!"