"finishing up my 6th month with kyleena. my doctor prescribed me ibuprofen and a cervix softener prior to insertion. highly recommend you ask the doctor for those. i had zero pain during insertion, just slight uncomfortable pressure and mild cramps after. my period is now very, very light. hoping it stops all together soon as i heard that is a possibility with this iud. partner has no issue feeling the strings. no pms issues. the only side effects i have experienced have been a bit of weight gain/bloating (not enough to be a deal breaker though) and more oily hair that began the 4th month. this has been annoying but a low maintenance, effective birth control is worth having to wash my hair a bit more often. will update at 1 year."