"yes, insertion hurts like anything, but the pain is brief. just take your ibuprofen (or something stronger) and breath through the pain - you&#039;ll be fine. i had moderate cramping for a few days after insertion and am still spotting very lightly 2.5 weeks later. i had the mirena iud several years ago and hated it (sex was painful and i would bleed after every time, i got reoccurring bv infections, acne, etc.), so i had it removed after 7 months. i feel no pain whatsoever while having sex with the skyla, my skin is still clear, my mood is normal and i don&#039;t have abnormal discharge. so far, the skyla has been amazing and i&#039;m incredibly sensitive to birth control. i had mine inserted by a certified nurse midwife and i think that helped."