"when i was first considering birth control i chose this one because it was more reliable and long term. i am only 18 and am not looking to have a baby any time soon, so i thought it would be a good idea. the insertion was painful, but it only lasted for a minute or 2. after, it was uncomfortable and the cramps were so bad. but i didn&#039;t mind since my usual periods consist of painful cramps. i did a follow up 6 weeks later and everything was good. my periods are longer now, but only by 3 or 4 more days. i get some pains here and there and spotting at random times. the only thing that&#039;s difficult is checking the strings. but overall a great choice, no more pregnancy scares. i forget it&#039;s even there sometimes which is great"