hi, thank you for your query. All the symptoms you are describing are the component of side effects of Mirena. The common side effects are- Irregular vaginal bleeding (e.g., spotting), cramps, headache, nausea, breast pain, acne, rash, hair loss, weight gain mood changes, loss of interest in sex mild itching, skin rash puffiness in your face, hands, ankles, or feet. these persist for a few days to a week after starting off mirena.if they persist any longer i would advise you to consult a GP to get an X-Ray done to check for proper positioning of the mirena,improper positioning may cause persistent bleeding and pain thank you, wishing you good health