"i decided to write a review because of the many negative experiences about insertion. the procedure was slightly painful, but tolerable. mental preparation helped a lot. it was quick, about 2 minutes. cramps the day of and day after felt like a heavy period. however, i did not spot at all afterward and i still haven&#039;t spotted. i did yoga about 2 hours after insertion and it helped eliminate all of the cramping. physical activity and heating pads help immensely but even without cramps aren&#039;t that bad."