I had my Mirena put in August of 2008. To start with I thought it was great. Now insertion was worse than giving birth to my two year old but I figured that was normal. The first few months were great. I have not had a period since having it. I LOVE this fact but I would rather have a monthly than have all my other symptoms. I am ALWAYS tired no matter how much I sleep; I have terrible headaches verging on migraine level. I have horrible mood swings. One minute I am fine and the next I feel like a mad woman. I feel horrible because my two year old see’s this and I know she does not understand. I have terrible bouts with depression. Sometimes they last for days. I have gained 25 lbs, now I have always been heavy but when I work out 5 days a week and eat VERY healthy and am still gaining weight there has got to be a problem. I am almost 30 and I now have acne like a teenager. And I think the WORST side affect of them all is NO SEX DRIVE. This has seriously hurt my marriage. For a long time I have just put much of this off as being the mother of a toddler but now I am not so sure. I cannot take it anymore and have an appointment scheduled for October 1st to have it removed. I will update as soon as it is out.