Had mirena inserted Jan '05. Spotting and such for months afterwards but overall have been pretty happy. Love having such light periods, but I said to hubby this morning that I feel like my pmt is getting longer and longer. At the start I had breast tenderness, bloating, and feeling down for a few days. This month breast tenderness, bloating, and mood changes seem to have started 10 days before expected period. In addition I have been seeing a skin specialist for acne for over a year and still can't seem to get on top of it. Most important for me though is that for the past 18 months I have had trouble with my voice (my voice feels deep and thick and talking is often uncomfortable and I can't possibly sing). Have seen heaps of different specialists and had stacks of tests but there doesn't seem to be any physical reason for the problems. Has any one else had voice problems?