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I don't, personally, but do some research, and discuss it COMPLETELY with your doctor before you do it. For the most part, they're not that bad. It's a day with really bad cramps, frankly (bring your cramp med of choice - advil works really nice for me). My mom expelled hers spontaneously, but no perfs or anything, and that's my only negative anecdote that I have any direct knowledge of.
I don't want to make you more nervous, but please keep in mind - if you were to get perfed, that could interfere with having kids one day. So please do discuss this thoroughly with your doctor, ok?
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My heart knows me better than I know myself, so I'm gonna let it do all the talkin'.
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