"i am kind of upset at the negativity that i have seen posted: bad acne, cramps, wt gain, low sex drive...all of which i was afraid of. however, i admit that i have been breaking out a bit more but i started washing my face twice daily and it has subsided a lot better with occasional breakouts. i was told in the past that chin acne is due to hormones. my cramps are bad only when i spot (only happens once in a while) i&#039;m not saying they are comfy, but are better than before i was ever on a birth control tabs, i believe that i have actually lost weight, not due to mirena, but due to work, etc. you need to stay active anyways, so who can really say that it&#039;s the bc? however, i do believe that the nuva ring caused mine. my sex drive is actually increased too:)"