"i was put on birth control pills for severe cramps, however, i tried 4 brands of pills and was unable to tolerate combined hormones. they made me irritable and very sad with a lot of crying. my dr suggested the skyla and i received it march 2015, insertion was not bad but she gave me a valium before she inserted. i only felt some cramping but i am used to severe cramps anyway so it was tolerable. since insertion i have had severe cramping, spotting and moodiness. i am either crying or angry. i feel exactly like i did on the pills. this is only month two so i will give it a little more time. i did read side effects subside after a few months. my spotting is sporadic now instead of daily. my first period was very short and light."