"i rate this a 5 because i&#039;m not sure what else to rate it. i&#039;ve had it for 2 years now. i&#039;ve tried the pills and the patch and hated both! i have one problem with skyla and it&#039;s the cramps. i started skyla at almost 18 years old. before that my cramps were a breeze. there were pains but they were tolerable. after starting skyla my cramps were horrible. i&#039;d be on the floor crying because the pain was so intense! no medicine even slightly eased the pain. idk if this is just because it was just inserted wrong or if it&#039;s just how my body reacted. but i know when i got it inserted it hurt very badly and continued to hurt for 2-3 days, while i was told it&#039;d only hurt for a couple hours. if you get skyla i hope your experience is better than mine!"