"first off: don&#039;t let the horror stories scare you away! everyone is so different, don&#039;t assume that will be your experience. i have had skyla going on 3 weeks now (inserted 8/21/17) and it&#039;s awesome! after being on the pill (generess) for 5+ years it is such a relief to not have to take a pill. the insertion hurt for a whole 10 seconds and then following was a very bad cramp, sort of like it was doing a final adjustment into place. after that i cramped mildly for about a day and a half. i&#039;d recommend having a driver if you live far away from your doctor, as your cramps may vary. hormonally i feel better than ever, libido and mood is better than ever! hope this helps"