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"I have had Mirena for four months now.  The insertion was quite painful but I had I had to get it done in the middle of my cycle instead of during my period so I guess more pain is normal then.  My cystic acne has come back in full force in four months and I spot brown very randomly but I suppose both of those could be due to other stresses in my life.  I am also feeling a little depressed and unmotivated, definitely gaining weight without much change in lifestyle. I am 31 with no kids, perhaps I need to work harder on my body now but 12 lbs in four months is a LOT for me.  I will give it six months to see if things level out."