"i had slyla inserted in august 2015 after being on the pill off and on for four years. the insertion was the most painful experience. i cramped and bled lightly for almost two weeks after the insertion and had mild paranoia from it. during my first period i had very sharp, very centralized cramps and lasted only for a few minutes but happened once a day for the first three days. i would always spot two weeks before my period as well. my periods did become slightly lighter. i noticed during my second month that my sex drive was gone and my husband noticed as well. i also started feeling depressed during the fourth month and noticed mood swings and weight gain. i&#039;ve gained 10 pounds with no change to my lifestyle. i&#039;m have it removed tomorrow"