Birth Control
"Had my Mirena inserted July 30 2014, I am giving it such a high rating at this point because I have nothing but positive experiences so far. 
Unlike most people I had it inserted after having no children, the insertion was slightly painful but just felt like a bad cramp that went away quickly. The cramping stopped 2 minutes after insertion and then I had some mild cramping later that day. Spotting is minimal to null, only noticeable on bathroom tissue. 
-For anyone thinking of getting on before they have had a kid: I was given misoprostol vaginally to soften the cervix and took ibuprofen for 24 hours before to help with cramping.  The misoprostol did not cause me cramping or discomfort as I feared it would."