"i have had kyleena for about a month and the insertion was nothing like i imagined.  as someone who is afraid of pain, and the horror stories i read, this was really not that bad.  i would rate my pain as a 6/10.  there were two, short-lived, intense cramps; one for the sounding and one for the actual placement of the iud.  i could not feel the tenaculum on my cervix (no anesthetic).  i had to actually ask her if we were even at that part yet. i went to work right after i had it placed.  the spotting lasted for about 2 weeks.  it was minimal, but nonetheless annoying.  i think my body is still adjusting to it but i am going to give it that 6-month window my doctor recommended."