"i didn&#039;t rate the mirena higher just because i haven&#039;t had it that long yet.  i read so many horror stories about the pain and what not before i had mine inserted.  it totally freaked me out!  well, i am 25 years old, have never had a kid, and it was not that bad.  my doctor was talking me through everything while she was putting it in.  all i felt was a little pinch followed by what felt like a pretty moderate menstrual cramp.  i simply concentrated on my breathing, and i was fine.  i got a little flushed, and i was a tad bit lightheaded, but it was nothing.  so far, so good.  i&#039;ve had a little cramping off and on and some spotting, but that&#039;s it.  best of luck if you decide to get it."