"i have had skyla for 4 months and i love it! i read all the reviews before and that was a mistake. insertion did hurt-- there are 3 big &quot;pinches&quot; involved-- but it was over in 30 seconds with no complications. i had very painful cramps for about 12 hours after insertion and spotting for a week or so afterwards but only had to take ibuprofen a few times after that first day and cramps were totally gone after a week. my period came later than normal the 1st time after insertion &amp; i was so scared it wasn&#039;t working! but it was fine and the doc said don&#039;t try checking the strings because most people can&#039;t find them as they curl up under the cervix. periods are super light but a bit long. haven&#039;t had to use a tampon in 3 months-just pantyliners!"