"so, i took the pill for a year before considering getting an iud. i asked my gynaecologist about my options for an iud and he recommended skyla since i have never given birth. it was free with my insurance. if you don&#039;t have health insurance, i&#039;m sure planned parenthood would be able to give you answers. the actual procedure wasn&#039;t painful for me. my doctor injected lidocaine into me cervix (which, surprisingly wasn&#039;t painful). he inserted the iud, cut the string and was done. there was some pressure when he accidentally tapped the top of my uterus, but otherwise i was fine. afterward is when it became painful (cramps), but i would just recommend taking advil. i was able to go to school and work afterwards. i love it so far!"