"i am 39, no kids. i have found skyla to be worth it. like all bcs, initially you xp  the hormonal flux with acne &amp; side effects. after 3 mos it regulates. i like ob/gyns, my pref due to abnormal situations. i am highly sensitive to meds. process: (clamp, measure, insertion, ultra sound). my docs explanation &amp; i do agree: sklya for those with no children. merina - had children. paraguard - older women going thru the change. my xp: take a motrin night before &amp; morning of. 1st day, med pain/lightheaded at insertion, then take a motrin &amp; lay down. 2nd day - less cramping. 3rd day- normal. look at this way, you hit your knee on a table. the bruise hurts for about 2-3 days, then your fine. same xp."