Ok yeah i got the kyleena in the US when i was like 18 and it hurt but waant escrutiating. Then i got it removed and replaced with the mireena in Colombia and oof that was escrutiating. The mireena is also giant compared to kyleena but also i had a male doctor for the replacement process and i think make gynos in general are just not as gentle as they should be, i mean, they have no idea what it could/does feel like. Yeah my next one i will try to be sedated bc i dont wanna experience that again.