"i&#039;ve had skyla in for a little over a year now and although there is cramping that comes with it i would definitely recommend it! the insertion was really painful! i had to go back a second time because the first time it was unbearable. my obgyn prescibed me some pain meds and a pill that widened my cervix so it would go in easier. that night i began to bleed a lot and have horrible cramps that lasted two days. after the first week i was completely fine, occasional cramping but i have always had really bad cramps. it has been effective and seems like the easiest most cost effiencient form of birth control!"