birth control
"Yes, insertion hurts like anything, but the pain is brief. Just take your ibuprofen (or something stronger) and breath through the pain - you'll be fine. I had moderate cramping for a few days after insertion and am still spotting very lightly 2.5 weeks later. I had the Mirena IUD several years ago and hated it (sex was painful and I would bleed after every time, I got reoccurring BV infections, acne, etc.), so I had it removed after 7 months. I feel no pain whatsoever while having sex with the Skyla, my skin is still clear, my mood is normal and I don't have abnormal discharge. So far, the Skyla has been amazing and I'm incredibly sensitive to birth control. I had mine inserted by a certified nurse midwife and I think that helped."