"this is the second mirena that i have had put in and i love it. the insertion was very painful and i had some cramping for few days, then nothing. i have not had a period in 7yrs, no break through bleeding/cramping/spotting. i also have not noticed any significant weight gain like some people do with certain birth controls. removing the first one after 5yrs was also a piece of cake not nearly as painful as putting it in!! i love it!! probably will put another one in(which would make 3) if i still need it by then i&#039;m 43 not sure what the rules are about age and the the max amount of yrs you can have this."