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I took 800mg ibuprofen before hand..and I won't lie, insertion for me, was the most painful experience of my life for about 30 seconds. The nausea hit soon after it was in, and the cramps worsened once I got home. I took some Tylenol PM, and slept for nearly 24 hours straight. The whole time absolutely regretting the whole thing, and just wanting it out ASAP. I felt generally out of it for the next two days and now, a week in, it's the best decision I've made, in regards to birth control. My mood is improved, my sex drive has improved, my self image has improved. I just feel better all around. I haven't had anything other than very minor cramps. Had no spotting so far. The only thing I do recommend is to go to the bathroom before insertion, because it was incredibly hard for me to have a bowel movement for the first few days after insertion. LOVE THE MIRENA SO FAR THOUGH!
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I got the Mirena about four and a half years ago... Hurt getting it inserted (I haven't had a baby) but after the first six months of minor spotting it finally totally stopped. I had been in two car accidents and happened to be taking a heavy duty muscle relaxant- Thank goodness, because the cramps were something terrible, and according to my sister, she said they were the equivalent of contractions. It felt like my body was trying to push it out. I now want it out early because when we have sex now I bleed for a couple of days which is supposedly due to thinning of the lining. Good for mood and no periods though.

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