The local hurt before the dr put it in (((OW))). I had mine put in 3 weeks after my little guy was born just over a year ago and it works a treat in that I don't have to think about taking the pill every day and dh and I can *y'know* without the worry of falling pregnant. I still haven't had AF though and it's possible I'm carrying extra weight from it too. Still I'll be getting it again when this one reaches the end.