I have had my Mirena for almost a year now. I have not had a child and got the iuc because my blood pressure was high and this was a better alternative then the pill i was on. But not I have acne like i have never had before! I don't even know how I got to this sight I go online to look at how much proactive would cost because I break out every month right before i spot for a few days and it take my skin three weeks to clear up, just in time for me to break out again it sucks. I see that a lot of you have had a low sex drive, which I have experienced also, and just brushed it off as stress, or whatever other reason, but now am beginning to wonder if it is my Mirena. these are pretty much the only side effects I have, but the acne is driving me crazy!!!! I still have somewhat of a period. I never really know what to expect one month i might not have one at all the next month i might spot for a day or two, then stop for a day, then spot again for a few days. It kind of sucks because its not enough to use a tampon and its on and off for about a week and a half. I don't know what to do, right now I am really missing my ortho tricyclin!