Sometimes people experience pain for four to six hours after the insertion. The physician routinely prescribes a muscle-relaxing drug and aspirin for relief. If you can relax, you may find the process easier. Don't plan strenuous activites for two days immediately following the insertion. Check the IUD string every week for the first couple of months, and at least every month right after your menstrual period thereafter, to be sure the device is properly in place.
Some people recommend checking before each act of intercourse.
For the first month or two , cramping or spotting at different times in the menstrual cycle is not uncommon. The Progestasert is thought to become effective in one week. Even greater effectiveness might be achieved by using a second contraceptive method at ovulation time if desired. Removal of the IUD is done by a physician or GYN nurse practitioner. This is done during the menstrual period preferably, with less pain than is associated with insertion.