"i&#039;m another, i don&#039;t normally write reviews, but i need to for this. 40 y/o np.  i received the skyla 20 days ago, while on my period.  the insertion- weird, painful, almost stopped, but didn&#039;t. afterwards was crazy. i had taken 600mg ibuprofen  an hour before the appt.  i was almost terrified by what i had read.  after the insertion, i got up, went to the front desk to make my follow-up appointment, and started to feel queasy.  my home is only a mile away and i thought, just need to get there.  got out of my car and fell flat on the ground /, face first.  crying, it was awful.  that all said, 20 days later, no issues at all. at this point highly recommend, even after passing out!"