I just made an appointment to get the Mirena put in. I'd rather go no hormone and might change my mind for the Paraguard instead. I haven't used hormone-based BC in several years and am leery about the effects. But the Paraguard in the past has given me really heavy periods, so there's that to consider. The insertion pain wasn't too bad in the past - not pleasant but not bad. I had a friend who had one inserted and she had never had kids. She said the pain almost made her pass out.