"originally i had nexplanon(however it&#039;s spelled), then mirena, before switching to skyla. since i made the switch my cycles are about the same length of days its always been, maybe a day or two longer, but mostly spotting. i would like for it to stop my cycle all together. although, i will say it&#039;s working a lot better than the other two. mirena cause me to have spotting for about 2-3 weeks, same with nexplanon...so i made the switch to skyla. i really didn&#039;t have any pain when it was inserted. my cramps are very light, nothing to take pain medication for, then again, i&#039;ve had two 9lbs babies lol...all in all i would say find what works best for your body. i&#039;m happy that the skyla is working thus far."