It definitely takes a bit to get used to that, especially on the exhale. I found that it became better over time, especially once I was able to stop focusing on the mask and my breathing. I don't use the ramp up personally, as I find it more comfortable for me. Definitely keep at it, and you should be able to talk to your provider if you keep having issues. I had to go through a few settings/mask types to find the right one.