"i had my skyla inserted in may 2016. insertion was very uncomfortable but quick. i was able to drive myself home perfectly fine and i rested for the rest of the day. i continued to have on and off extreme cramping for about 6 months, which was new for me because i never had cramps. my periods actually happened to be longer in length than when i was on the pill. i&#039;m not pregnant, which i most definitely would be if this wasn&#039;t effective. about 7 months into having my skyla i have developed extremely bad cystic acne, to the point where i can see the scars becoming holes on my cheeks. for me, that has been the only downside and is making me contemplate removing it, as cystic acne scarring is permanent."