"i got my skyla inserted a week ago and yes, the pain of the insertion is like an internal sharp pinch and a targeted set of cramps. i knew it wouldn&#039;t be easy but it was definitely more painful than i had mentally prepared for, the unexpectedness made me yelp out loud when i first felt it. the insertion took about 30 seconds but the entire process was 7 minutes. definitely worth the pain. i wish i had known this beforehand and taken an ibuprofen. afterwards i had dull cramp aches and some spotting. but nothing i had to take medication for, and it only lasted a day. the next day i was perfectly normal. around day 4, i started experiencing bloating and slight constipation. its uncomfortable but i am hoping to power through and see how it goes!"