"i tried pill after pill for 6 years, hated them all, whether it was bad skin or mood swings. decided that i wanted to go as hormone free as possible. as a 21 year old, my doctor said that skyla tended to have the best reviews from women my age. after reading all of the reviews i was spooked, so i took a pain killer before. the doctor did not give me anything for anxiety or the pain. i ended up passing out twice during the insertion and the next two days afterwards were antagonizing cramps. thankful i had my boyfriend to take care of me. the rest of the first week was occasional sharp cramping. 6 weeks in, couldn&#039;t be happier! appetite is smaller, skin is clearer, zero mood swings, high sex drive, normal periods. well worth the initial pain."