"i&#039;ve been having skyla going on my third year in october. and i can honestly say i&#039;m ready for my next insertion  for another 3 yrs. the pain when getting it inserted was bad but tolerable, its really just this very awkward discomfort that lingers 5 seconds too long, but when it&#039;s time to react..the process is over. my periods are predictable then sometimes unpredictable. it can go mia then appear. my flow varies from light to heavy but compared to before i had it..i love my period now with it. i used to use long/overnight pads &amp; change it from 4-7 times a day. now i can use thin/regular pads &amp; change 1-3 times a day. i also believe my diet effects my menstrual cycle. my cramps varies too but use some motrin and you&#039;ll be good. i recommend this!"