I had my mirena inserted back in May 2007. The insertion was the most painful experience of my life. The Dr. could not get in on the first 3 tries! She said, "well, one more try," and got it in. I almost passed out from the pain. I can count on one hand since then the days that I haven't bled or spotted. I get mystery "shooting pains" in my abdomen a few times a week, sex hurts because of cysts on my ovaries, I have acne on my entire face, scalp, hairline, chest and back. I used to get a couple of zits (maybe) before my period, before Mirena. Now I have full blown acne that leaves scars, and I am never without zits. And to top it off, now I am getting cysts on other parts of my body, too. I don't even want to get started in on my lack of sex drive, or being always tired. I tried to let the staff know that I wanted the copper IUD instead, but they told me it was too late to change my mind. Getting Mirena was a huge mistake, and I can't even afford to have it removed, so I am stuck with it until I get insurance again. My advice, DON'T get Mirena!!!