I had the Mirena inserted the first time in May08, within two months it fell out or rather cramped out. I had been having really bad cramps, I felt bleeding so I sat on the toilet, had a really bad cramp and afterwards the mirena came out. Before then during sex my husband had been complaining of feeling the strings sticking him. I explained all of this to my dr. who told me he would check and see if maybe my uterus was tilted or perhaps it was defective. I had it replaced and have had no better periods, feelings of anxiety, mood swings and low to no sex drive. I have had breakout periods since I had it (1st and 2nd times) inserted and have bled every time after sex. My husband thought the side effects weren't worth it. Unfortunately, I had no time make a decision on keeping it or getting rid of it. During our vacation it cramped out again. So I'll get checked when I return home and will be looking at other alternatives. Mirena just wasn"t for me.