"i&#039;ve had my skyla for a week now, got it because i started experiencing migraines with aura. the insertion really does suck, no sugar coating it. i consider myself to have a pretty good pain tolerance and the pain isn&#039;t anything that would stop me from getting another one. feels like an extremely deep, painful period cramp that kinda takes your breath away for a second. it&#039;s over very quickly though so don&#039;t let yourself get too hung up on that. i had to call in sick from severe period like cramping. next day i woke up and felt totally fine. i&#039;ve only had very light spotting after exercise otherwise nothing. occasional period like cramping, nothing that advil can&#039;t help. so far i&#039;m really happy with my decision!"