Mirena IUD and period like cramps

After 14 months I pretty much don't have a period, but I still have light to moderate cramping a couple of times a month.

Side effects: cystic acne & overall acne, metallic vaginal discharge, low libido & irritability. It was difficult to tell if IUD was in place since the doctor cut the strings too short. Went into OB & Planned Parenthood, they couldn't find it and were unsure if it fell out. This didn't give me a great deal of security as a BC since I couldn't tell if it was there or not...

Everyone will have a different experience, however from my personal experience, I have had the IUD twice, and both times insertion was very painful. With that being said it was over relatively quick and in the long run I can say with 100% certainty it was worth it since I can now have a worry-free reliable birth control. Knowing ahead of time that pain is a possibility during insertion can help you take steps to reduce it/ possibly take away some of the fear that comes with uncertainty. Additionally, I have stopped bleeding/ having regular periods, however I still have period symptoms around the same time each month, so cramps, acne, back pain, and tender breasts for a couple days. I hope that was helpful!