"i got the skyla iud a year ago trying to resolve my libido issues that was stemming from my oral birth control pills that i had been taking for the past 4 years. the initial insertion was very painful. i spotted for a week or so and then nothing until 2 months in. i started spotting and cramping horribly for the next 2 months pretty much every day, but my doctor said everything was fine. it got better for awhile but then around 7-8 months in i started having constant pain during intercourse, and went back for a second ultrasound. turns out the iud had shifted and had an arm pushing into the wall of my uterus so i had it removed. i would have rated this a 1 but to be fair i felt much less bloated and didn&#039;t gain any weight with it."