"mirena (levonorgestrel) for birth control: 36 yrs old, never had children mirena inserted 1 month ago, the pain of the insertion was horrible, but manageable and i did take pain pill before appointment.  been spotting off and on, seems more spotting after sex.  reading the reviews here are helpful and i will report my thoughts in a few months.  i say definitely keep a log of your spotting, etc."