"i am 18 and have never gave birth and was previously on the pill. i got mirena almost a month ago. my gynecologist gave me misoprostol to take 3 hours before the procedure and 600 mg of ibuprofen. the insertion was extremely painful for me, but the procedure only took about 10 minutes. after the procedure i had some cramping and a brown discharge for the rest of the day. the next day i woke up and felt great. ever since i have not had any problems except for some bleeding the first 2 weeks which is normal and easily controlled by using a light pad. the insertion was very painful, but so worth not worrying and about getting pregnant and taking the pill perfectly. if you can take a day of pain i recommend this full heartily. mirena is awesome"