"i had the skyla put in after my period cramps had gotten just to much to handle. the birth control side of it was also a big reason as i have a long term relationship, so skyla seems to be a great option for me. my older sister had mirena put in just awhile before. and she said it hurt a great deal with insertion. so i was very nervous. i got it inserted and it felt like a 6 on pain; not even comparable to some of the cramps i had previously. i bled the next day with moderate cramping. within two days the cramps were gone. the only thing bad about it is i spotted for about 2 cycles. which isn&#039;t that bad because it&#039;s not a constent flow. it is only brownish dried blood that a pantyliner can easily handle.  no symptoms ever after that! 2 yrs!"