"i&#039;m 22 &amp; nulliparous. i&#039;ve previously used pills &amp; nuvaring, &amp; didn&#039;t have bad side effects (except for no libido) but i wanted something long-term. i chose skyla after discussing it with my gyno. she had me take misoprostal orally the night before insertion, &amp; insertion was definitely uncomfortable, but bareable. i would recommend bringing someone with you to drive you home, because i had a 30 min drive home &amp; all i wanted to do was lie down. had cramping the rest of that day &amp; part of the next, but that&#039;s it. i&#039;ve now had it for just over 2 weeks &amp; love it. my sex drive is back &amp; i&#039;ve had little/no cramping! i got my period a few days ago right on time and it&#039;s lighter than normal! will update review in a few months"