"i have had kyleena for just under a year. insertion was awful. i had it put in the beginning of december, and had cramps so debilitating on christmas that i basically missed it. i still have severe cramps very often that are not aligned with my period. they are completely random. i sometimes get severe cramping after inserting a tampon or after sex. i was hoping i would have lighter and shorter periods. they are lighter, but i have to wear a pad or a tampon 3 out of 4 weeks a month. it&rsquo;s insane. the worst part is the cramping, though. it&rsquo;s very painful."