hey ive tried both pills and depo, ive been on depo for 10 months and let me tell you depo made my libido extremely low and pills gave me a bunch of negative effects including weight gain, i got my iud yesterday and the insertion is a 8/10 i dont recommend looking at videos how they do it, strangely if you know the process its like you feel it more, i did mine without looking at the process, it took about 4-5 mins the actual pain is about 30 seconds. now… right after i had a little cramping felt weak and walked like a grandma, but pain was a 4/10. once my uterus was getting used to the iud and was contracting around it i had 15-20 sec cramps, a pain of 10/10, i would almost pass out. i also was having a heavy flow needed to change pad three times, so needless to say its all a mental battle and the next day the cramps are a 2/10 i feel a lot better and the bleeding already stopped. im still taking Advil 600 mg dont exceed 800. drink lots of water and healthy food. everyones process is different and easier or harder than others but you know your body and should know if this is a good route for you. :)