"okay... i had read horror stories about the iud insertion process, so i agonized over whether or not i wanted to try other forms of birth control instead. i decided to go with mirena anyway. i took midol 4 hours and 1 hour before my appointment, and experienced little to no pain during or after insertion. the &quot;pain&quot; could be described as mild cramping at best. i have had very little bleeding and zero other side effects from insertion. i will check back in a few months with info about other potential side effects/effectiveness, but so far, so good. it seems like everyone is different, but if you can handle a week of pms or period symptoms, you can probably handle the iud insertion."