"i&#039;m 20 years old, i&#039;ve had skyla for a year now. when i first got skyla inserted by my gynecologist it was very painful. the pain feels like long major cramps while on your period but slightly worse. i did not take any medication before my appointment because my gynecologist said it wouldn&#039;t be that bad. i highly recommend taking some kind of pain medication before you get skyla or any iud. my cramps were so painful right after the insertion i had hot and cold flashes. my doctor noticed right away my oxygen levels were low and then i was given an oxygen mask. after my appointment i had painful cramps for three days and spotting for three months. after three months of spotting my period became normal. periods get lighter every month."