"aged 54 with no kids and premenopausal. had my period for over a month with heavy bleeding and cramping. went to ob/gym for consult on possible uterine ablation and she suggested mirena 1st to stop the bleeding. i have a retroverted uterus and because this wasn&#039;t a scheduled procedure i was not told to take any pain meds beforehand. it was the most excrutiating pain ever, however, i also had cervical biopsies done just prior to insertion. not sure which hurt more but i layed on the table for a good 15 minutes after in tears. so far it&#039;s been 2 weeks, heavy flow has slowed to constant spotting and bloated like a blowfish !!  so hoping that things get better so i don&#039;t have to do ablation vs hysterectomy. horrible panic attacks :-("