"just inserted yesterday. insertion took about 20 mins between stretching cervix and placement of skyla. the whole process was very painful for me and i can take pain very well. i left my obg slouched over and sat in my car in pain in a ball. when i got home i have a heated pad on the cramps all day and night. just woke up, have the same cramping, spotting, and, alot of gas. i am unsure of its effectiveness, but so far i&#039;m in pain."