I had Mirena placed in August 2009. I was so excited when I first heard about it; shorter, lighter periods, decrease of cramping, no taking a pill daily, birth control for up to 5 years... Well I am so ready to have it taken out! My face broke out worse than a hormonal teenager and I have NO sex drive since it's been inserted, none. Also I have to wear a panty liner every day and night due to spotting. I didn't experience any weight gain but would rather take a few pounds versus all the side effects I do experience. I would not recommend Mirena to anyone and am scheduling an appointment to have it taken out asap.