"i have had my skyla in for only about 3  weeks now. i was not on my period when i got it inserted, and i did not take any pain killers or anything before hand. the pain during the procedure was  painful, but tolerable (i have a moderate pain tolerance.) it only lasted 2 minutes tops and i just had severe cramping during those couple minutes which caused me to get very hot. i have had cramping since i&#039;ve gotten it, along with on and off spotting. i&#039;ve noticed that midol works the best for the cramps. although i have not had it in very long, i am so far not minding it. i had heard good things about it from friends so i am giving it a go."