"i&#039;m 23 and have never had kids. i was on the depo shot for about 6 years and just got on the skyla in august 2016. the insertion process was painful and extremely uncomfortable. i almost passed out and i usually have a high pain tolerance. i thought i was okay to drive home but the whole time i was hurling over my steering wheel in pain. i was in bed with medicine and a heating pad the rest of the day and honestly two days after. i&#039;m on month 4 almost 5 now and i&#039;ve had terrible cramps but no periods. they are basically contraction like pains. i get them almost everyday. i don&#039;t know if i should get the skyla removed or not. these cramps are unbearable. only a heating pad and laying down helps."