"i&#039;ve never been on birth control, but have always had brutally painful irregular periods. i actually had no spotting which seems to be rare and i liked it at first. my first period after the insertion though the cramps were more severe than anything i&#039;ve ever experienced. i started getting my period every 2 weeks with unbearable cramping,very painful bowel movements during them for the first 3 months of having the kyleena in. since then my periods have regulated, but from time to time i still experience horrible cramps &amp; my face acne has been awful the whole time. i&#039;m in my 20&#039;s (never had acne) i&#039;ve tried two highly recommended skin care lines and they haven&#039;t helped. kyleena is not for me and i can&#039;t wait to get it out!"