birth control
"I have had the Mirena for almost 3 years now.  I had it placed about 6 months after having my daughter and had no pain at all. I did spot for several months and then it almost completely disappeared.  I now go without periods except the occasional spotting (I would estimate this at 3-4 times a year). It has been great. I have not gained weight or had problems with acne.  I do still have the PMS symptoms every 3 to 6 months that last around a week.  Sometimes they are worse that others.  I almost always spot after the PMS symptoms.  I have also gotten 2 ovarian cysts since the placement that lasted several weeks and were painful.  I did not get these, at least not painful ones before the Mirena.  Other than those few things it is a great!"