"26 yo, no pregnancies. i had my skyla inserted about 1 month ago because i was tired of remembering to take my ocps. i took 2 ibuprofen the morning of my appointment. insertion definitely hurt, but to me it felt no worse than having a pap done. very tolerable. and it only took a couple of minutes.  no cramping or bleeding the day of or day after. mild spotting since then, but no period. it&#039;s been about a month and i&#039;ve noticed a few side effects: occasional terrrrrible cramps &amp; my acne got worse-- however, both of those side effects could potentially have been from me going off of my ocps and have nothing to do with skyla, but who knows. would definitely recommend &amp; medicaid covered mine-- as they should cover any form of birth control."