Attila is like Barbarian Invasion RTW . It ' s a very different perspective and both of those games feel very different . It ' s about migration and survival , whereas the others are all about starting small and becoming great . <| sep |> I ' ve had two IUDs both Mirena inserted alone , one at 18 and one at 23 . I drove myself home both times . The second time I had a vasovagal reaction about 20 minutes after I left the clinic maybe 3040 minutes after insertion and became very lightheaded and shaky . I ended up having to pull over and puke on the side of the highway and rest for a while before beginning to drive again , so next time I ' d definitely bring someone along . For me , after care involves hot water bottles and lots of ibuprofen for the next day or two . Insertion is intensely painful for me , easily the worst pain I ' ve ever felt , because the doctor has had to dilate my cervix both times . Even with a local anesthetic a painful injection , maybe 56 out of 10 on the pain scale the pain of getting my cervix dilated is intense 1010 pain for me I have no idea what it would be like without anesthetic if that ' s what it ' s like with it . Once the dilation is done the insertion only takes a second and it hurts , but I ' m coming down from the crazy dilation pain and the insertion is nothing compared to that . I also went with a friend when she got an IUD inserted and she squeezed my hand and that was it . She reported that it was definitely uncomfortable , but not the whitehot , mind obliterating type of pain I experienced . The doctor didn ' t have to dilate her cervix so I think it ' s a matter of physiology in the future I ' m definitely going to ask for cervix softening medication because even on my period , my cervix isn ' t open enough to have an IUD inserted without dilation . I ' m writing my negative experience with insertion here just to show that while the process of insertion can vary wildly from woman to woman , the IUD itself is absolutely worth it to me . It ' s one bad day for five years of stress free birth control . I ' m going on 10 years with few side effects I still have a very regular hormonal cycle so I experience all the typical period side effects , just with no bleeding .