"i had a pretty easy insertion- experienced a sharp pain for a few seconds and that was it. i took a tramadol and was expecting the worst, but it was totally manageable. my first period with it inserted lasted ten days but most of it was light spotting. i had more cramping and breaking out than normal. overall i love having the skyla. insurance covered the vast majority of the cost and it&#039;s reliable. my partner doesn&#039;t feel the strings. i anticipated more issues after reading reviews for this iud, but it&#039;s working really well for me!"