Jumping in so I can add to the positive IUD stories - I'm surprised at how many negative comments I've read, because the 4 friends who I know have IUDs and I have all had very similar, positive experiences with it! I just got my Mirena inserted 3 weeks ago, but my friends have had theirs for years. I'm 29 and have never been pregnant, but I didn't find insertion to be that painful. I took a few naproxen and ate lunch an hour before my appointment, and I brought a stress ball to squeeze during the procedure, but I was not given anything to soften or numb my cervix. My appointment was a couple days after my period ended. Insertion only took 5 minutes or so, and it felt like getting a pap smear plus two or three pinchy, crampy moments. I said "oof" at one of those moments and "that feels... weird" at another, and I felt a tiny bit clammy or woozy for a few seconds, but that was it! I drove home on my own and spent the rest of the afternoon with a sticky heating pad on my abdomen, Netflix, ice cream, and a bottle of wine, and discomfort was minimal. Since then I've had light spotting most days (looking forward to the end of that), and I've had 2 days this week where for a couple of hours I've had cramps. The cramps are definitely more severe than the barely-there menstrual cramps I've had before, but they don't stop me from going about my day. I can't feel the IUD inside of me, and while I have checked the strings and can feel them, they don't feel pokey or uncomfortable.
I came across this board from a search on Mirena and cramps during the first month, only because I was curious and kind of fascinated (like I said, I've been lucky to have very minimal menstrual cramps, so they've been a new sensation for me) and wanted to compare my experience with others... but I'm sure that's why what I've read is so surprisingly skewed toward negative. Women who have positive experiences with IUDs and no major issues are probably not too likely to search online for sites and boards discussing potential IUD complications and comment with their own, positive experiences (hence why I wanted to add my story here), so if you're reading a board about IUDs and cramping, you're going to get a pretty one-sided story. To be clear, I do NOT doubt the stories of anyone on here who had a negative or painful experience with their IUD. But I do want to reassure women who are interested in an IUD and run across this board, since they may walk away thinking that 90% of women with IUDs end up with a horror story. On the contrary, it's something like 80% of women who still have their IUD after a year of use (versus somewhere around 50% for oral contraceptives), so there definitely is another side to the story. I was anxious before my appointment after reading how I might scream or faint or vomit, and when I mentioned this to a friend in Europe (IUDs are WAY more common there than in the US), she shrugged it off and said, "Remember, there are tons of other women who have gone through it and are fine."
I am really curious about what makes pain levels during insertion and after vary from person to person. It doesn't seem determined by general pain tolerance, and can't totally be predicted by whether or not you've been pregnant / given birth. Maybe your level of usual menstrual pain is related? Or cervix sensitivity? I suspect a lot of it comes down to how skilled your doctor is - my OB/GYN inserts IUDs all the time, and she was AMAZING. She gave me all of the knowledge I needed, was comforting, and also made it clear that if she tries inserting the IUD and encounters resistance, she won't force it (avoiding perforation, overly lengthy or traumatic insertions, or issues with uterus size). Be aware of what could happen and prepared for it - definitely take ibuprofen/naproxen before the appointment, eat some food an hour before to cut down on potential wooziness, have someone available to drive you home if needed, and have heat pads / ice cream / wine / whatever waiting at home for you to look forward to during the procedure - but also know that plenty of women have insertions that are no big deal, and try to relax as much as you're able. I also found it helpful to STOP reading horror stories and instead educate myself on what would happen during the procedure and why I might feel certain things (clamminess, wooziness, etc. are due to vasovagal response, which is far less scary when you understand why it's happening!). Good luck to all of you ladies!!