"i had this inserted at my 6 week check up on 9/18/17. i am 20 with one baby. i have a tilted uterus as well. i took two advil about an hour before my appointment. i only felt slight cramping a few times during insertion. it didn&#039;t hurt, it was just uncomfortable. i have had period cramps that were worse and after giving birth, it was nothing. i had light spotting for the first couple of days after insertion. i just started to bleed very very lightly today with very mild cramping so i&#039;m waiting to see if it is my period. my strings need trimmed back more due to hurting my boyfriend during sex. overall i love it though."