My experience may be a bit atypical but I thought it may be helpful nonetheless. I have been diagnosed with endometriosis and use an IUD as a method to control my cycle and the pain that comes along with it. I have an incredibly high tolerance for pain as I have had to deal with it for most of my adult life. I first had the Mirena put in in 2008 and can honestly say it was one of the worst experiences I have ever had. Not knowing what to expect from it in the first place, I took no painkillers beforehand. The pain was so intense, I threw up and ended up having to have a local anesthetic administered (in the form of an injection) into my cervix. I can say that really only "took the edge off". Once the whole process was over, I cramped pretty badly for about 3 days. However, for the first 1-2 years with the Mirena in place, my endometriosis seemed to be as much "in control" as possible.
I just had it replaced a couple of days ago and was given strong anti-anxiety meds to take before the procedure. Again, it did little to help. It was still incredibly painful and was about the same level of pain as the first time. I had asked about having it done in the OR with a stronger anesthetic but it wouldn't be practical with most insurance plans. I happen to have really great insurance but the difference between a necessary procedure in an office and a necessary procedure in the OR is huge. Next time, I may just try and take something stronger.
My experience was a bad one. But again, I am in my late 20's, have never given birth (making it more difficult to open my cervix) and have endometriosis. Therefore, my experience is a bit different but I figured all insights and experiences can be helpful
