"after taking acetimenaphen one hour prior to my appointment as directed by my doctor, i experienced no pain having the device installed. i did, however, have pretty painful cramping for four hours about after 30 minutes after mirena was inserted on september 27th. (2 weeks after my last period had ended). i had light spotting for 2 days, then my period came a week later as scheduled on october 5th. i had no severe cramping/migraines as i typically do and my flow went from very heavy (before mirena) to mild/light (after mirena). although my period ended after the typical 7 days, i continued to have light spotting/discharge for 21 days until my period started again on october 31st. i&#039;m now at 28 days of having some sort of blood/discharge with no relief in sight. my sex life is non-existent, the hormones are also affecting my mood (not in a good way) and i&#039;ve developed acne at 42 on my usually pristine skin. a 3-6 month adjustment window filled with acne, mood swings, no sex and irregular bleeding is not looking so appealing. i&#039;m now considering removal."