"i have been on bc pills for 5 years. i&#039;ve tried a ton and had issues with all of them regarding decreased libido, breakthrough bleeding, and moodiness. with skyla i don&#039;t have to remember to take a pill everyday, it&#039;s the lowest dose of hormones, and it shortens/ends your period, and is more effective than bc pills in preventing pregnancy. as a married, full time nursing student i knew this would be my best option. because i have never been pregnant insertion was very painful initially for about 1 minute because they clamp the cervix to stabilize it. i just breathed through it. after the procedure i was fine until i started cramping about 1 hr. after procedure. i slept it off and woke up the next day feeling 100%. love it so far."