"okay i&#039;m writing this review for all of the young ladies who are afraid to get the skyla. i got it today and it doesn&#039;t hurt at all. it&#039;s all of a 10 minute process, if that long . they give you a medicine to take the night before and as long as you take that you&#039;re good to go . i also took something for cramps about 30 minutes before the appointment. when inserted you only feel mild cramps , just as if you were getting your cycle. it&#039;s not painful and trust me i don&#039;t take pain well. i&#039;m 19 and this is definitely the best decision for girls our age . not having to worry about any surprises for three years is something we need !"