"i chose skyla over the pills because i have horrible memory and i would forget to take one every night around the same time. skylas insertion isn&#039;t as bad as i read about it. i was terrified because of what online said about it. the insertion is about 10 seconds long of period cramps on steroids. i took two 800mg of advil before hand like my gyno suggested. i had cramps the first few days, spotting since i wanna say october 3, 2016 to mid november. my periods have been a day or two long with minimal to barely any blood. highly recommended. no cramps, no headaches, tiny mood swings, a little acne but nothing a face wash can&#039;t fix. i have had a loss of appetite though, not sure if it is the skyla though."