"i just had my skyla inserted this morning, so i can&#039;t attest to the long-term effects yet, but i wanted to share the experience getting it. i freaked myself out reading horror stories, so i thought i should come back and provide some insights for others. let me start by saying the whole thing took about 3 minutes - the painful parts were less than 1 minute combined. first, it&#039;s just like getting a pap. then they have to measure how far in to put it - take a deep breath ladies, this is not fun, but over quickly. then they put the skyla in - also not fun, also over quickly. you&#039;ll have some major cramps for a few minutes, so i&#039;d suggest you stay lying down until you feel pretty normal again. all done! now, advil and a heating pad for ~3hrs."