I have had my Mirena since May of 2007, at first it was wonderful then about 1 year in I started gaining weight, particularly in my mid section. My mood swings were out of control, anxiety, restlessness, joint pain, acne. I spoke to my doctor and told my stomach issues were probably IBS and acne was probably stress or hormones. I was put on lexapro for the mood swings and anxiety. I have been watching what I eat and working out and nothing has helped.Finally last week I decided to do some research on my own and googled "midsection weight" and articles linking this to mirena flooded my screen. I spent the rest of the day reading and called my doctor the next day. I have an appointment tomorrow to have it removed, I will keep you posted. Part of my is angry that these side effects were not listed in the pamphlet I received from the doctor but another part is so relieved to have found an answer to the madness.