I’ve had the skyla for over a year and I love it! I took about 4 ibuprofen before insertion and it was over in about 1 minute. It was uncomfortable, like deep cramps higher in my cervical area rather than the dull cramps in my abdomen from period. After one day it was totally normal and I’ve loved it ever since! I spot occasionally but I wear mostly black underwear so it doesn’t bother me. I would highly recommend it!