i've had the mirena for 4.5 yrs and have all the same symptoms as previous posters. Symptoms started about 18 months after i got it inserted, and over the past 3 yrs have slowly but surely gotten worse and worse. horrible acne on face which spread 2 my neck, chest, back, arms. Little white hairs all over face, chest, belly, everywhere. Migraines, hot flashes, mood swings, extreme fatigue, absolute zero sex drive. I feel like im going thru puberty and menopause at the same time and im 26yrs old. I wish i wouldve found this post sooner cuz im afraid my face is gonna be permanently scarred. Listen, all u who are thinking about waiting it out 2 see if the symptoms improve, save yourself years of stress, depression, and embarassment and have it removed before things get worse. I too like alot of these women have been having marriage problems due to my lack of libido and constant mood swings. I never suspected mirena cuz they said there was very little hormones and almost no side effects. I also occasionally get severe sharp cramps that are worse than labor pains. also my periods, while they are very light and only last a few days, are so unpredictable. For the first year i had the mirena, i spotted almost every day the whole year. I loved the fact that i wouldnt have to worry about getting pregnant for 5yrs but its not worth it, im finding something else asap. Im not even waiting the 6 months til its due to be taken out. Sorry for the long post and thanks to all of you for giving me the answer i have been searching for for 3 years! Good luck everyone and please update with any improvements after removal.