"i am writing a review on the insertion of this product. i am 22 years old and have had two c-sections and never been dilated once. the insertion feels no more than a pap smear and was just a little bit of pressure. i did not experience any pinching or cramping and almost decided not to get it because of all of the scary reviews. since i had skyla placed about seven hours ago i have not had any  cramps whatsoever. just a little bit of bleeding. also i am breast-feeding and so far so good i will write a review further down the line to see how i like it i highly suggest it so far as the insertion was a breeze and i was petrified to even go forward with it !"