birth control
"I had my skyla inserted in may 2016. Insertion was very uncomfortable but quick. I was able to drive myself home perfectly fine and I rested for the rest of the day. I continued to have on and off extreme cramping for about 6 months, which was new for me because I never had cramps. my periods actually happened to be longer in length than when I was on the pill. I'm not pregnant, which I most definitely would be if this wasn't effective. About 7 months into having my skyla I have developed extremely bad cystic acne, to the point where I can see the scars becoming holes on my cheeks. For me, that has been the only downside and is making me contemplate removing it, as cystic acne scarring is permanent."