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Common Side Effects of Mirena Abdominal or pelvic pain Acne Allergic reactions such as rash, hives, difficulty breathing or facial swelling Breast tenderness Changes in bleeding, such as spotting or heavier bleeding within the first 3-6 months Depression or changes in mood Hair loss or unwanted hair growth Headache or migraine Missed menstrual periods Nausea Ovarian cysts that typically resolve within 2-3 months Pain, bleeding or dizziness during and after placement Vaginal discharge Vulvovaginitis (genital inflammation) Weight gain Some side effects can be serious