Just got my Mirena/First IUD
Some background--I'm a 20 year old, NP virgin (though probably not much longer, hence the BC), and I just got my Mirena today, so I can't say much about how it's working for me yet, but I figure I can begin with today's insertion and give updates every couple of months to help anyone else out there who's curious about this form of BC and its effects on different people.
Last night, the night before my procedure, my OBGYN prescribed me one misoprostol to insert vaginally, a medication that softens the cervix and helps it to dilate. I put mine in at about 2 AM and experienced some minor cramping, helped a bit by ibuprofen, until 4 PM today, when my insertion was scheduled. An hour before my insertion, I took 800 mg of ibuprofen as my OBGYN had instructed and came in anxious and ready to get the whole experience over with.
I would be lying if I said I wasn't nervous. After reading through the posts here, it became apparent that some people have a breeze getting through the insertion and others aren't so lucky. Thankfully, for me it was pretty simple. My doctor was very supportive and had a great disposition. She kept the mood light and explained every part of the procedure, so I knew what was going on and what was coming.
Like pretty much everyone has said, dilating/opening the cervix was the worst part. I felt a sharp pain. It was not pleasant, but that subsided very quickly (a couple of seconds). I tried my best to relax and take deep breaths. I thought more would be coming or that it would be worse, but after the clamping, the insertion felt like nothing. They did do something (maybe this was the sounding?) that gave me a few unpleasant cramps, but nothing serious--just made me tense, and I had to remember to breathe.
Afterwards, the doctor and the nurse both remarked how this was one of the best/easiest insertions they'd had. They seemed genuinely impressed, told me I was a rockstar (nice to hear after a bit of pain!), and ultimately the appointment went by easier than I thought it would. I thought that, being a virgin and never having had kids it might be particularly difficult. But I suppose it just goes to show it really depends on the person.
I would say the most important parts are just to stay calm and relaxed, breathe consistently and find a doctor you trust/who makes you feel comfortable. The misoprostol also definitely worked wonders, and I would make sure that you ask your doctor if it's something they would prescribe prior to getting Mirena/another IUD.
And that's it--last thing is to get a sonogram tomorrow to make sure everything is in place. Will update in a couple of months!