"i had the skyla inserted on friday the 14th. i took 2 ibuprofen before hand and in my opinion that didn&#039;t help! insertion hurt pretty bad i broke out into a sweat fast. pain was not unbearable and it only lasted a couple minutes. i had some cramps that night but not too bad. all in all everything went good a few minutes of pain is worth the 3 years piece of mind.  i have not had any spotting but i have also been on birth control pills for almost 10 years so i don&#039;t really get a period anyway."