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I did not get an IUD. I seriously considered it and my Dr told me she'd go ahead and let me get one if I wanted. She asked me to go off my pills for a few months to see how my cramping was. She told me that if I had a lot of cramping without the pill then it would be likely that my periods with an IUD would be much more crampy. She could then give me an IUD with hormones in it because those type tend to control the cramping more.
Well I opted not to go with the IUD because I get BV too frequently. Bacterial Vaginosis is not a big hassle normally but if you get it while you have an IUD inserted it can more easily infect the uterus and reproductive organs and cause so many more problems. Also with my lifestyle it's more risky to have an IUD because any infections you might be exposed to can travel deeper into the reproductive system and cause a myriad of problems.
As for the pain on insertion - I wonder if they wouldn't give you a little prescription for it. I had more than one colposcopy (aint it the bitch? justjess) as well and it was terribly painful. In a colposcopy they do insert an instrument inside the cervix at least partway and that was quite painful. For the second colposcopy I told them that the Ibuprophen was not nearly enough pain relief (I had cramping for 2 days after the first) and that I wanted something more. My Dr gave me a prescription for 4 or 6 codine and told me to take 2 before my appointment. That helped a lot. Perhaps, if you are considering getting an IUD you could ask for a little extra pain control. The Dr's are usually more than willing to accomodate in that kind of situation.
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"Always learn the rules so that you can break them properly." Dalai Lama
My Karma just ran over your Dogma. 
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