"i read all these insertion horror stories, and it truly was not that bad. it barely hurt (maybe a 4 or 5 on the pain scale) and i cramped mildly after, then slept it off. i will say ever since i&#039;ve gotten it i cramped everyday since, nothing severe but i have gotten into a habit of knowing to carry midol or ibuprofen around. i do randomly and i mean randomly spot, sometimes heavy sometimes light sometimes nothing at all, but prior to having the skyla inserted i did take 3 plan bs in the two months prior so that might also be to blame. overall, for a month of spotting and mild cramping for years of no babies? i&#039;ll take it. "