"i am giving it a 9 just because the insertion was the most excruciating pain i&#039;ve ever experienced. i took 1000 mg of tylenol es but i guess it took too long to kick in. i turned blue and almost passed out after the insertion. the day of the insertion i had annoying cramps but a day later and i feel so much better; woke up feeling brand new. i&#039;ve tried the pill &amp; nexplanon which i hated, since this is low dosage of hormones, i am sure it&#039;s going to be 20x better than the two. will give an update after several weeks."