"so many of these reviews scared me immensely and caused a lot of anxiety leading up to my skyla appointment. take them with a grain of salt. this process was nothing like i expected, it was barely more than a pap. i am 22 and was on the pill since 16. i&#039;m fairly petite (5&#039;3) and very active and athletic. my doctor prescribed me valium and told me to take one pill along with four ibuprofen one hour before my appointment. once i arrived he took me right in and the whole thing was done in literally one minute. i didn&#039;t even know he had finished the whole process - i felt pressure and discomfort, but nothing like the horror stories i had read. i had some mild cramps for about 5-6 hours after, and then totally normal like nothing happened."