"i had the skyla placed a month ago. my doc said i would experience some slight cramping during insertion and light cramps throughout the evening. i haven&#039;t had children &amp; have a tilted uterus; 2 odds against my favor. the doctor clamped my uterus, pulled it straight to allow for placement, &amp; manually dilated my cervix with another tool. the pain was excruciating. i was so miserable that i was holding my breath (accidentally) &amp; nearly passed out. she told me to take ibuprofen for pain. after bawling my eyes out 45 mins driving home, i took ibuprofen, but no help. i called the md back and she said this was &quot;okay&quot; since i had a tilted uterus and never had children (bad answer). now it&#039;s been in for a month &amp; cramps are rare &amp; tolerable."