"i just got my skyla in yesterday so this rating is only for the insertion process itself. i have been on the pill for the past year and a half but i wasn&#039;t very good at taking it on time and correctly so my doctor and i decided to try an iud. as i&#039;m 18 and have never had kids the skyla it was. i&#039;m not going to lie i tend to overestimate how much something is going to hurt and end up being fine but unfortunately that wasn&#039;t the case for this. the pain was definitely there and actually hurt more than i thought it would. i couldn&#039;t stand up for about ten minutes after the insertion and driving home was a a nightmare. i had to pull over because my vision was blurry. be cautious with this. hoping the good outweighs the bad."