"i had it inserted following the birth of my youngest son in june 2012. there was no pain but i was cramps all the next day as my doctor indicated when he recommended it to me. i haven&#039;t had any side effects over the past three years and i have had a period since august of 2012-- however my doctor told me this is not always the case and i was one of the lucky ones. i absolutely love it and will definitely have it placed again in two years when it&#039;s time."