"i had skyla inserted about three months ago and have been mostly happy with my decision. i&#039;m 28 years old and have never been on the pill - i don&#039;t like the idea of all those hormones. the insertion itself was quite painful - i have a high pain tolerance but i would definitely say this was the most painful thing i&#039;ve ever experienced. it was over quickly though - after a couple minutes i was back to normal. my doc prescribed pills for me to insert in my vagina a couple hours before and it made a difference. since the insertion i have had an increase in intense cramps but no spotting - never used to get cramps before. my period has been irregular - first one was two weeks late!! i was worried and ended up taking a pregnancy test!"