birth control
"I got my very first Mirena put in five years ago.  That experience was a little painful.  Only because I have never had children and my cervix is quite small.  My OB/GYN had to dilate me to insert it.  It was only about 5 minutes of intense cramping but it wasn't awful.  After I had it inserted, I spotted and cramped for one day.  Fast forward five years later.  I just had that one removed and my second one put in.  No pain for the removal, just a slight pinch.  Much easier time getting the second one.  Again, only spotted and slight cramping for one day.   For the five years that I had the first one, I only spotted periodically.  Nothing more.  I have the Mirena not only for pregnancy prevention, but for a medical issue as well.  I love it"