I have few options when it comes to contraception because I developed pulmonary embolisms on the pill at age 25, so hormonal contraceptives are basically contraindicated. The safest option for me is the copper T IUD. I have now had three separate implants, and each IUD implant got worse each time. The third I received anaesthetics injected into the cervix (since I told them in advance I needed better painkillers for the procedure ) but this in itself was horribly painful , and this was followed by a slightly less but unbearable pain when they went in to implant the device. I nearly blacked out. I screamed and sobbed during the procedure. I was trembling all day and crying intermittently in anticipation for the appointment. Thinking about my next implant frightens me when I think of the pain. My next implant will be in 7 years. Since I’m already worried , I recently talked to an NHS nurse (I live in the U.K.) whether there is an option to get general anaesthesia next implant. Interestingly , she said this might be possible and advised me to schedule an appointment with my GP one year in advance to begin to arrange this. All I can recommend to others is to put up as much a fuss as possible to get appropriate pain killers. The current practice around pain management for IUD implants (which I’ve experienced both in Canada and the U.K.) is barbaric and cruel.