"i was 21 years old when i got my first skyla  and 24 for my second. i was the first woman in my obgyn to get it when it first came out. it was so new, my insurance company didn&#039;t cover it because there was not a billable code for skyla. both  insertions did hurt and i was tender for a couple days after. almost like a period pain. once the cramping from insertion was over, i didn&#039;t have any side effects or problems. had the first one removed 3 years later. the np had problems finding it and had to recruit a dr to come in. he of course found it right away. the first removal was worse but i believe it was because i was so tense from the np &quot;digging&quot; for about 15 minutes. the second removal was a breeze. i would definitely recommend this iud."