"i just had my 2nd mirena put in today.  i&#039;m 41 and had to stop taking the pill when i turned 35 because i am a smoker.  i haven&#039;t thought about my iud since the first week i had it put in 5 years ago - that&#039;s how well it works for me. removal was much less painful than i thought it would be.  it felt like a &quot;tug&quot; inside.  insertion is never fun.  it feels like a strong contraction.  it&#039;s been 6 hours since my appointment, i have no bleeding and just a little cramping.  i have never had any problems with hormonal based birth control - if you have, mirena might not be the best option for you, talk to your doctor."