"i had my mirena placed at the end of may. an hour before my appointment i took 800mg of ibuprofen and ate a small breakfast. the pain during the placement wasn&#039;t bad, some cramps for maybe a minute (but i also have a child). i was on the last day of my menstrual cycle and barely had any bleeding from mirena. i went off birth control pills because my mood was horrible, i was always on edge and since switching i feel more like myself. my acne has gotten worse and i just finally saw a dermatologist. i got 2 creams and spironolactone to help with my hormonal acne. if you&#039;ve had acne previous to placement i would recommend seeking treatment from the start instead of suffering to see if it clears as time goes on. other than that i feel great!"