"i&#039;ve had skyla for 9 months now. (26 no kids). i have a mixed opinion of it. insertion was uncomfortable but not painful. cramps were bad for 30 min/1hour. i menstrated regularly for about 2 months then stopped pretty much altogether (i spot here and there). one major change for me was a huge decrease in libido for the first 4 to 5 months. fortunately it has since gone back to normal. even though i do not menstrate i do often still get the cramps during that time and they can be rough. i do not plan to be on it the full 3 years but it does what i need it to do for now."