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I've had Mirena for a little over a year and absolutely love it. I'm in my early 20s and was hesitant to start other forms of birth control because it is hard for me to remember to take pills and I was worried about the weight gain. I've had no weight gain on Mirena and no extremely noticeable side effects. It was slightly painful to get inserted and I bled lightly for a few months afterwards but once that stopped it's been great. I tend to have spotting or a light period for one or two days every couple months but that's it. It's great and so convenient.