"again, this is not for everyone. i had it in for about 11 months. for the first 5 months, i bled constantly, after that it was spotting. however, annoying nonetheless. insertion was a little painful, but tolerate. the last 4-5 months, that&#039;s when everything started to get worse. it was constant spotting, my acne got worse, gained like 15 pounds, headaches, and fatigue. i am 20, with no kids. i switched to the pill, but i just read reviews on it and it has really bad reviews but i&#039;m trying it out."