"i have only had it in for a couple weeks but so far i have loved it.  insertion was not bad at all (i know this depends a lot on the person).  it just felt like very minor cramping for about a minute.  i got it in during my period, which is supposed to make it hurt less.  after insertion, there was mild to moderate cramping but went away with ibuprofen.  i have had occasional spotting.  sex drive is the same.  i have noticed that i have to go to the bathroom significantly more often. but that&#039;s the only real complaint i have.  was on the pill before and this is has been so much of a better experience. it was expensive but over the 5 years, it&#039;ll be worth it."