"my rating is only related to insertion because i just had kyleena inserted this afternoon.  i&#039;ve read so many horror stories, so i was truly worried, but it ended up not being a big deal.  i took 3 advil about 45 minutes before.  things went as everyone has generally said as far as procedure.  it didn&#039;t feel good, but i wouldn&#039;t say it was the worst pain ever.  it actually came out right after it was placed so she had to place a new one after the second one, but that didn&#039;t hurt as much as the first.  so far, cramping hasn&#039;t been much of a problem.  i have had some bleeding but not much.  everyone&#039;s experience will be different, but know that the horror stories don&#039;t apply to everyone!  don&#039;t let these stories deter you!"