"i had paragauard for two years even though i had heavy periods and very bad cramps. i can&#039;t handle birth control pills (depression, weight gain, acne,  you name it). finally, i gave in and tried kyleena. insertion hurts (a minute or two of cursing under your breath and some deep breathing), then i was basically fine. i took motrin and tylenol before insertion and took a few doses of motrin for maybe a week or two after. some brown spotting a week or so before my first period then a light period for about one week. since then nothing and feeling great! i go back tomorrow to have an ultrasound to confirm placement, so far i can feel my strings and no issues during sex. definitely recommend, just make sure you go to an obgyn."