"i am 44 years old and never had children. my periods over the past two years had become increasingly sporadic and unpredictable while on seasonique.  i felt the birth control pills were no longer working against my hormones and i became increasingly uncomfortable taking estrogen at my age. i was told the skyla would be a good option for me.  the actual procedure took less than two minutes. the first object placed was a ruler to measure the inside of the uterus, this was the most painful and caused intense cramping 7/10 pain.  the ruler was removed and the iud was quickly inserted.  the intense cramping subsubsided immediately and i had mild cramping for another 6-7 hours.  overall a very good experience."