"yes, it was quite painful to insert even with two tyleno-3 tablets and a numbing gel,  however totally worth it as birth control. but... i&#039;ve gained 60 pounds in 8 months! i&#039;m eating very clean - no sugar, no junk food, barely any carbs and i&#039;m a heifer now!!! going to my gynecologist tomorrow and getting it removed, i can&#039;t deal with this anymore!"