I had Skyla inserted a month ago. I had some initial swelling, which mostly resolved. No effect on mood or libido (but I am using a very low dose .75mcg 4 times a week of compounded testosterone cream). I do have some weight gain, but I did not figure out the estrogen part yet. The amount of levonorgestrel that is being released daily supposed to be reduced from 14mcg a day to 10mcg a day by day 60. So I hope it will get better.