I had my Mirena coil replaced this week. It's the third replacement and I don't remember any pain at all from previous times - just a bit of discomfort. But this time it was intensely, sharply painful, and made me scream out. I'm wondering it was because the doctor had long fingernails. They weren't talons, but they were long enough to stick out, and therefore stick in. (I noticed them because they were painted black and quite chipped). Aibu?