"28 yrs old no kids/pregnancies and had previously only used the yaz pill birthcontrol. i got skyla inserted in april &#039;15 and am due to have it removed next year. i give it a 7.5. insertion was uncomfortable but my ob recommended i take some ibuprofen before i came in. i was crampy the rest of that period. every period after that for the following 6 months came with pretty sharp cramps the first few days. the periods now are definitely longer but light enough that i have mostly used light tampons since then. no weight gain, skin didn&#039;t change. sex was fine except that i&#039;d spot after depending how close to my period it was. i&#039;ve had a few accidents and have not gotten pregnant yet so i would probably use it again if i find nothing better."