"context- i have the sklya iud to prevent pregnancy and also because of extremely painful and heavy periods. i got the skyla (my first iud) inserted in may 2015 (10 months ago). the insertion- very painful. however, keep in mind that i&#039;ve always had very severe cramps. it felt like a pinch combined with the worst period cramps i&#039;ve ever had. after about 10 minutes of severe pain, i went from a 10 to a 2; it&#039;s amazing how fast relief comes after. result 10 months later- i ultimately love the skyla. i love having worry-free sex with my husband, my periods are extremely consistent &amp; light. the only downside is that unlike bc with estrogen, this doesn&#039;t do much for my skin. it didn&#039;t make it worse, but it didn&#039;t really help either. i recommend!!"