"i am writing this review for the sake of all women who are iffy on this product. i was apprehensive to skyla only because of what i read online. despite my doctor assuring me this was the best option for me, i still was not 100% on skyla. i am one month post-insertion and i am so happy i decided to go with skyla. i am 19 years old, and i have struggled with birth control since it was present in my life. i cannot be on the combined pill due to the migraines with aura (visual changes) i get and i struggle with acne so the pop pill is not for me. i decided to go with skyla and i&#039;m very pleased. insertion (for me) was a bad cramp that lasted no more than 5 seconds. spotting/cramps continued for about a month after but now i&#039;m good."