E.S.
Hi T.,
I had Mirena inserted in early June. My doc preferred that I have my period during insertion, but my cycle had been so inconsistent after a few months of trying the Nuva Ring that he was okay with inserting it anytime. Insertion wasn't too painful...kind of like an annual pap test, just one that takes longer. There was a pinch when the Mirena "arms" popped open and then cramps. I had sporadic cramps for about two weeks and I've been spotting on & off since insertion, but I knew this going in. It can take 3-6 months for your body to adjust to the Mirena and many women experience cramps and spotting during that time. I'm okay with giving it 6 months to adjust, especially since after that time something like 80-90% of women stop having their period. In short, don't worry about the insertion - it's really not bad at all, especially since you've had three babies. In my opinion, the biggest issue to deal with is the spotting that you might have for months afterwards. Good luck with your decision!