"review is about insertion only. i&#039;ve never written a review in my whole life but hopefully this can help other women. i just got the skyla inserted about an hour ago. took 800mg of ibuprofen an hour before. inserting the speculum wasn&#039;t painful just like a routine gyno check. it hurt the most when she clamped my cervix.  it was intense cramps. she measured it then inserted it and it was all done in a matter of 30 seconds. i just laid there for about a minute to let the cramps subside. overall was not bad at all. yeah cramps are never comfortable and it feels weird knowing they&#039;re in your cervix but it&#039;s over so fast. period cramps last forever. this took 30 seconds. i&#039;ll write back in a few months about how i like it so far!"