"i am on my 2nd mirena. the first insertion was similar to a pap, very little pain.  i had no noticeable side effects, and everything went well.  after 5 years, i had my new mirena placed.  the removal was much more painful than the insertion, but well worth it.  definitely take some motrin ahead of time! i really haven&#039;t noticed anything different this time around. i have noticed mild breakouts and more discharge, but other than that it&#039;s great. i have not had a period or spotting since february of 2008! i had it placed in october of 2007 initially. definitely recommend!"