"i had the depo shot for years and loved it but had to be taken off of it since i was on it so long. so the recommended skyla. i was really scared because i had previously had the mirena and i ended up in the er from the pain. but i decided since she said it was smaller to try it. the placement was extremely painful but keep in mind that i&#039;m only 96 lbs and have a very small uterus. during and after placement that day, i had a lot of pain and dizziness and was pretty nauseous. but the next day the pain has definitely gotten a lot better and it seems like this will be a great birth control. i would recommend it, but i would recommend taking any pain medication before and after if you are a small person and haven&#039;t had any kids."