I had the Mirena inserted Auig 2008. The first 5-6 months I still experienced the irregular bleeding although not as heavy and often as prior to. Early Jan 09 I had a sudden gush and then very little to no spotting until about 5-6 months ago. Now the bleeding is worse than prior to the insertion. I have been unsuccessful so far in contacting my gyno. It's definitely coming out. We were just on our way to the beach and had to turn around and come home. It gushed out right through everything...it's awful.....I also experience the bloating and some wight gain. I have had headaches and nausea but always blamed it on something else. There has to be help out there somewhere..........