"so i decided skyla was the option for me because i recently got diagnosed with bipolar 2 disorder and the hormones from birth control pills were too much to handle. i&#039;m 21 and i&#039;ve never had kids before so i didn&#039;t want to do paraguard or mirena due to the size. the insertion process was not the best but it was not the worst it could have been. i definitely psyched myself out thinking the absolute worst was going to happen due to all the reviews i read on here. as long as you take 800mg of advil or ibuprofen about a half an hour before the procedure you will be fine. i can describe it as poking in places i&#039;ve never been poked before, a little bit of lightheaded was and you&#039;re done. had some cramps but i&#039;m happy with my decision"