birth control
"I had Skyla "installed" 3 years ago and had switched out for a new one yesterday.  The first time I cramped spotted for weeks but it slowlly faded. The removal and new insertion was rather unpleasant, but not as bad as having it placed in the first time. I took one dose of Advil yesterday, but that's it. The pain today was minimal, a few twinges here and there, but nothing that required medication. Overall, I am pleased with it. I got it originally because my cramps were so bad, they sidelined me for days. Now, I barely notice them and my flow drastically reduced. No weight gain to speak of and no additional acne. My migraines have increased but they had been over the last several years so I'm not sure it's connected."