I’m at 30 months total now, but discount the first 18 as a period of overly conservative prescription for my body. I rarely felt anything then and had minimal budding. I’ve since been switched to E injections, added progesterone and dropped the spiro altogether under my new docs care (she shadowed Dr Powers). Now I’m a happy B, but still nothing more than some really strong achiness around a general ache most of the time and lots of itchy. But I’ve never had anything I’d call pain unless Something smashed into me.