birth control
"I had the Skyla inserted on Friday the 14th. I took 2 ibuprofen before hand and in my opinion that didn't help! Insertion hurt pretty bad I broke out into a sweat fast. Pain was not unbearable and it only lasted a couple minutes. I had some cramps that night but not too bad. All in all everything went good a few minutes of pain is worth the 3 years piece of mind.  I have not had any spotting but I have also been on birth control pills for almost 10 years so I don't really get a period anyway."