"so i just want to start off by saying insertion is really not that painful. the people that are saying it&#039;s awful either have a really low pain tolerance or don&#039;t have a very good ob. i would much rather have to get it inserted again than have to take a pill everyday. my only issue with it is that my periods are very heavy and my cramps are strong. but it is manageable. no birth control is perfect though so i would rather have this and no hormonal side effects."