"reasons for the 9/10:



1) cramping/spotting for 4-6 mos. my 1st time on mirena, no period for 4yrs! 6yrs later, &amp;6 days into 2nd mirena i&#039;ve got typical cramps/3.5d menstruation.



2) it could fall out/re-position itself in the cervix, (down from uterus). 5mos after a copper/hormone-free iud, i found out that this had happened to me and i switched back to mirena.



many people have had adverse effects from this med. incl. depression, anxiety, mood swings, constant spotting, painful cramps+.



having 5 years of experience on this med., then switching to a copper iud for 5mos, i can say that mirena has helped my depression/anxiety.  every body is different. plus i&#039;m not going to get pregnant! so, all in all, i&#039;d recommend this to anyone."