I had Mirena inserted 4 weeks ago and have had slight spotting but nothing more than needing to wear a panty liner daily which I did before anyway. I had pretty bad cramping for a few hours after insertion and since then nothing more than a little bit here and there (not more than a minute or so each time). I've been reading all these terrible side effects and am in disbelief that neither my Doctor nor the Mirena website mentioned HALF of these. Of course this only happens with some women but I believe everything should be laid out on the table as possible side effects. I do not feel that Mirena has effected me in the least compared to most of these women who have posted experiences but I still feel it is unfair that they list about 7 side effects on their website and say they have about a 10% chance of happening. Good luck to everyone who is using Mirena or who ever has!