"i chose paraguard because i didn&#039;t tolerate hormonal bc well. i am 21 and have never given birth. i was nervous about the pain--even pelvic exams are uncomfortable--so i obtained tramadol b/c a study found it was the only thing that reduced insertion pain.

i had no cramps at from the mistoprostol; my doctor said i was one of the lucky ones. i took tramadol 1 hr before. i would&#039;ve also taken aleve to help with the cramps but i can&#039;t take it. i highly recommend tramadol--my insertion pain was maayybe a 3.5, and lasted an instant when they measured my uterus. i had no pain with the iud or any other part of the process. i had cramping and spotting after for about 3 days after, and now i just get an occasional one. i have not had my period yet."