I've never used any forms of birth control before, so I don't know what to compare it to other than being normal and not on birth control. Insertion was uncomfortable but not very painful, and I had pain in my cervix and spotting for about a week afterward. My body adjusted very quickly and I had normally spaced periods right after. The most noticeable difference is that my period is lighter and longer. My sex drive noticeably decreased, and my emotions are dampened/numbed. I forget that I even have it 99% of the time, as I don't notice it in my daily life. If all you're looking for is plain and simple low-maintenance birth control, this is it. 