"had skyla inserted on 9/17/15, the procedure was extremely quick, so was the insertion pain. the whole day after i had extreme cramping, but it slowly went away and did not continue into the next day. i spotted for about a month after, but the spotting stopped completely after my 2nd period with it. my first period with skyla was not a pleasant experience, it seemed as if my pms symptoms were made worse by the skyla but thankfully my symptoms were back to normal by my 2nd period. the only concern i have with it now is every now and again i bleed pretty heavily the day after intercourse. i&#039;ve highly recommended it to my friends as a form of contraceptive though because it&#039;s been extremely effective"