"i have had a very positive experience over the last almost 5 years. i am 26 with no children. yes the insertion is uncomfortable, but only for a minute or so, just a couple of cramps.  my doctor gave me misoprostol (softens the cervix) to take the night before and morning of the insert. i also started ibuprofen 600 mg every 6 hours starting the day before. i had minimal spotting and cramping after. and for the last almost 5 years i have very little cramping, no periods, no mood swings and pain with intercourse only 2 or 3 times. i plan on getting another one and recommend mirena to everyone!"