"i have had the mirena for almost 3 years now.  i had it placed about 6 months after having my daughter and had no pain at all. i did spot for several months and then it almost completely disappeared.  i now go without periods except the occasional spotting (i would estimate this at 3-4 times a year). it has been great. i have not gained weight or had problems with acne.  i do still have the pms symptoms every 3 to 6 months that last around a week.  sometimes they are worse that others.  i almost always spot after the pms symptoms.  i have also gotten 2 ovarian cysts since the placement that lasted several weeks and were painful.  i did not get these, at least not painful ones before the mirena.  other than those few things it is a great!"