"so far i have had skyla for about two and a half years, it works great,aside from very minimal cramps there is only one major complaint i have,i am 23 but can never have a clear face,as if i am ten years younger. if you do not mind having severe acne it definitely does it&#039;s job and prevents pregnancy 100% if put in correctly, occasionally my partner can feel the strings,as well. and sometimes i do have bleeding from around my cervix if intercourse was a bit rough. i also sometimes have trouble with &quot;dryness&quot; but am unsure if that is related to skyla. overall,if you do not wish to have children whatsoever and do not mind having acne,i believe this would be a go-to birthcontrol!"