"i am 34 years old and i have had two children previously.  i was so nervous yesterday when i went in to have my paragard inserted.  i had read so many online reviews and i was terrified.  my doctor mixed up my appointment and my consultation actually became the day of insert.  i was nervous because i was not on my period and i had not taken any medicine for pain.   as my doctor started, i was breathing very heavily to try to relax. once she started, she asked me was i okay and by the time i knew it, it was over.  i had one cramp and one small pinch and that was it.  it was not that bad for me.  i had immediate bleeding and i am having a little spotting today but nothing i can&#039;t handle.  i just got it so i give it a 9."