"i am 20 years old and have never had a child. i was on the pill for a year, and spotted the whole time. i finally convinced my obgyn to get prescribe an iud, and although my uterus was &quot;too small&quot; for a paraguard, i took the skyla. the insertion hurt alot, and this probably has to do with my introverted uterus (something like that) which the doctor had to pinch down with a clamp. that being said, the 2 minutes of pain was definitely worth the gain! i have had it for about 2.5 months, and each period has been lighter than the last. i did cramp for about a week after getting it, but it wasn&#039;t anything horrible, just slight discomfort.  i am now worry free every night and don&#039;t have to keep checking the time to make sure i take my pill."