"i had skyla in for about a year. beware if you have never had a child before-the insertion will be painful as they have to dialate your cervix. i never had any trouble with skyla other than painful cramps during my period. they actually almost felt like contractions. my periods were very light - but never disappearing. i ended up removing it a little over a year into having it because my husband said he could feel it and it was painful.  removal was a breeze. my obgyn said to &quot;cough&quot; and it was out! no dialation necessary!"