I had the Mirena inserted before starting chemotherapy in August 2007. I thought all of the side effects were related to chemo and steroids, but I've been off of those for 5 months now. I'm beginning to think all of my symptoms are being caused by the Mirena. I have horrible, painful acne. The worst I've ever had in my entire life and I'm 34yrs old. I had weight gain with the steroids, but have only been able to lose 10 lbs since I stopped taking them. I have headaches, dizziness, fatigue, acne, dry skin, dry mouth, itchy scalp, seem to be loosing a lot of hair in the shower, no sex drive, no orgasm, insomnia, nightmares, lack of concentration... and the list goes on. I went to see a dermatologist who told me the acne was mostly likely being cause by the hormones from the Mirena. I'm calling my Ob first think on Monday to have it removed. I can't wait to feel like myself again.