"took 2 advil&#039;s prior to insertion.  the insertion hurts like a cramping feeling for a few minutes at the most.  i was terrified after reading all of the reviews about how much it hurt, but it really was not that bad.  

afterwards, i laid down for a couple of hours.  i was in pain for a bit, but a heated pad really helped with the cramps. the next day/week i was able to work no problem.  

a week with no problems, then i started to have some cramps and spotting.  the spotting lasted on and off for about 6 weeks. sometimes heavy, but mostly light.

i am currently on month 3 with the kyleena and i am very happy.  i cramp a bit when i get my period, but periods last maybe 2 days and are light bleeding."