"i am 20 years old and this is my second time using the skyla as my birth control method and i love it. it hurts slightly when it get put in and then cramping for a day or two but then it&#039;s mostly bliss! my periods are very rare, maybe 3 or 4 a year, no severe weight gain or skin problems. my cramping is much more manageable than it used to be. i&#039;m not pregnant and have never been so obviously it works. it does however sometimes make me nauseous and have bad acid reflux but other than that i&#039;ve enjoyed my experience with it."