"i got it 3 months ago. the insertion was quick but very painful, after it was over i laid down for ten minutes and i was ready to go, some cramping but nothing an advil can&#039;t fix. i did bleed heavily for the first 2 months during my period and spotting too, and cramping bad. now on the 3rd month i am spotting a little bit and no heavy periods. no weight gain but i have been breaking out a lot, this is a huge concern because i have always had a clear face, i just purchased some acne creams, i&#039;ll see if that helps. still, getting pimples beats getting pregnant for me. my sex drive has decreased so my partner has to work a little harder to get me going. other than that i will be sticking to mirena.  i am 29, no children."