The best replacement for skyla is mirena.

The best alternatives to skyla are rated as following:
★★★★★  mirena
★★★  paragard
★★★  cilan
★★★  winona
★★  nexplanon
★★  nuvaring
★  implanon
★  elesa
★  mirena iud

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No companions for skyla have been suggested so far.
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