I have it for contraception, have had it since December 2006. My DP and i discussed all our options, we needed something as close to 100% as we could get and i wanted the lowest dose of hormone possible so we decided to opt for Mirena. We'd both had STD screens and were clear so i took myself off to the clinic to have it fitted.
A doctor fitted it and a nurse was there too. I was in a gyn bed (one of those short beds with stirrups for your knees) and the nurse had told me it can cause a bit of painful cramping, that i should hold her hand if i needed to and that i would be kept lying down for 20minutes afterwards and should arrange for someone to be with me that evening so i wasn't alone with DD in case i fainted (very rare reaction but they have to warn you).
So first the doctor used a tool to measure how far the inside of my fundus was, with a sort of rod. They asked me to cough, i presume as they got through the cervix but i have to be honest and say i felt nothing but a very tiny was-that-a-cramp. Then they adjust the applicator of the IUS to the depth they measure (so they don't try to put it in deeper or shallower than your uterus is) and put it in. I didn't feel that at all, and said to the nurse "ok, i'm ready" as the first cramp faded away and the doctor said from the end of the bed, "just let me trim these cords and you're done". So then she trimmed the cords and released me from the stirrpus and i laid there very bored and feeling fine for twenty minutes. Then i got up (slowly at their insistence) and went home. DP came over that evening and we ended up playing scrabble and having a laugh and i seriously felt totally fine.
The next day i had a little cramping but not worse than AF, and i had spotting for a few days.
I had some annoying very light on off on off spotting for a few months and sometimes it was really annoying if it had gone on for weeks, but it was always very light and now it's settled down to a 7day period, which is one day very very light bleeding and then 6 days spotting (just like stained CM basically) and 1 or 2 days of midcycle spotting when i ovulate every month (which i still do).
I've had no real problems with it and will certainly have another put in after my next baby and probably use it long-term when our family is finished so neither of us has to have surgery.
HTH
Bx


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. The insertion was nothing compared to Endo pain. The bleeding for the 10 months wasn't any where near what I normally had to deal with and it was relatively painless which was a huge improvement, but it was annoying and I felt let down having thought it would stop it completely. It just took some time to do that I guess. But as I said for me it was worth it. All the best, please let me know how you go, cheers

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