"felt compelled to weigh in on the insertion issue. everybody is different, of course, but i had read many forums in which woman after woman called the insertion excruciating, agonizing, or the worst pain they&#039;ve ever felt. i am small-build (5&#039;0), never had children. it was really not that bad. three rather severe cramps - but nothing worse than i have had with a particularly bad period. i had no local anesthetic and i took 800mg ibuprofen one hour beforehand. it was inserted less than an hour ago and i am back at work and feeling fine. i think one thing that may make a difference is the experience of the nurse practitioner or doctor performing the procedure. the more experienced, the faster. mine took less than three minutes total. not bad."