"i got the mirena 10 weeks after i had my second kid. the insertion was painful for me. i have been spotting and bleeding on and off since i got it in. the day i got it in i was crampy and sore. i have gained a few pounds but i have no proof that is from the mirena. i will say my sex drive is very high with this and that is a plus for me and my husband. this is so easy no pills, shots, etc. but if the bleeding continues much longer i will probably see bout getting it removed."