"i was really scared to get the iud but had it inserted 9 months ago after being on and off the pill. due to health reasons i had to choose an option that was low or no estrogen. i had mine inserted under anesthesia due to leep procedure ( loop electrosurgical excision procedure) done on my cervix  a few years earlier. after insertion the cramps were really bad and i had a lot of bleeding. i had bad cramps on and off for a few months and quite a bit of spotting. i still get short brief cramps around my period. my period is longer than before but is very light and i can use just pantyliners. compared to what i went through with the pill mirena has been a lot better and it&#039;s nice not having to think about it.  my advice is everyone is different, so you won&#039;t know if it&#039;s for you until you try it."