"i have struggled with birth control since i was 15. i get severe migraines with birth control, and i also would suffer from acne, as well as mood swings. i was really nervous about getting skyla but it has been the best birth control experience i have ever had! no migraines! the insertion pain lasted a couple hours and i bled for about a week after really lightly. in the first two weeks i also had some minor mood swings but nothing compared to how i felt on the pill. my periods are so light i just need a panty liner for about three days and then its over. i have noticed a decrease in my sex drive for about a two weeks after but not anything that i couldn&#039;t deal with. the only flaw is that i get random painful cramps that last about 20 mins."