"insertion? awful. i haven&#039;t had kids, so of course my pain tolerance is going to be low. the pain doesn&#039;t last long - basically, if you want a good hormonal birth control just suck it up. for me, the day i got it i had pretty damn bad cramps, but by the next day they were nonexistent.  about a week before my period i was getting cramps here and there - nothing tylenol couldn&#039;t take care of. now i just got my period, and i&#039;m going to be honest it is heavy. i do have some cramps with it, but nothing like i have experienced in the past. i have lost weight since getting off the pill. my mood, it&#039;s stable for once! sex is still great, i feel great, boyfriend loves it too! especially the no hormone part! i highly recommend it."