"i chose this option after being on pills for over five years and a trial of nuvaring for two months. i always forgot to take my pills and was getting too paranoid. tried out the ring which was a horrible two months of mood swings and discomfort. went in for the mirena and had it inserted when the dr discovered my uterus is too small for the mirena. so i went back a week later and had the smaller version skyla inserted. if pain is the only reason you haven&#039;t gotten an iud, stop worrying! my nose piercing hurt worse than both insertions of mirena and skyla. take 800mg ibuprofen before appt. and have a heating pad on hand. all i felt were cramps that were similar to usual menstrual cramps, nothing painful."