"i got my kyleena inserted this morning and it did not hurt at all. i took 800 mg of ibuprofen an hour before my appointment. my doctor clamped my cervix, cleaned it with betadine, measured my uterus, and then inserted the kyleena. all i felt was a lot of pressure and slight cramps after the insertion. the process took less than 5 minutes. please do not let any of these reviews scare you from getting this. i feel like this was a great decision i would recommend this for any woman who wants to be on birth control."