I LOOOVEEE them, no questions asked they got me an ultrasound appointment when I said my IUD felt off and I wanted to make sure things looked normal.

Also OP do you for sure need yours replaced? If it's Mirena the FDA recently extended how long you can have it inserted (8 years instead of the original 5- they've been extending it year by year as more clinical test results become available. But periods may come back.) Sending good vibes and hope your replacement is as painless as possible. My first insertion had me sore for a while so your stress makes perfect sense- sending hugs

I just discussed IUD replacement with my NP there and had a really productive discussion on my options for pain management. From my NP she is not able to do the shots but I could have another doctor in the practice who is trained and does it. I even said the cramping was really what made it miserable for me and she said the cervix softener she usually prescribes could have cramping as a side effect so that may not be a good option for me. Felt really listened to and was good to know what my options will be when it’s time!

I didn't ask for any additional pain management from them (my first insertion was almost painless so I didn't expect to need it), but I got an oral cervix softener from them and it did not help at all. My removal and reinsertion was genuinely some of the worst pain of my life.