"i had skyla inserted 6 months ago. i would describe insertion as the most uncomfortable i&#039;ve ever been. it was extreme pressure in a place deep inside my body &ndash; nothing i&#039;ve felt before, but also not exactly pain. it lasted maybe 20 seconds before subsiding into the feeling of menstrual cramps. those cramps lasted 3-4 days after insertion, and i spotted for the first month. since then, skyla has been pretty good. the only time i notice skyla is during my period. my bleeding is light, but wow do i get horrible cramps. i rarely got cramps prior to using skyla, and these feel similar to the ones i had post-insertion. however my friends have not had this issue &ndash; every body is different. overall i do recommend skyla!"