Hi vbg-I had mine for 7 years(actually the first one for 5 years, then got another for almost two years). I thought that everything was fine. I liked not getting a period. I thought all the moodiness, aches and pains were just me...getting older.
After I got the second Mirena, I bled all the time, not alot, but enough. Enough for me to look up side effects on the internet, where I came across this forum. I got mine removed two days ago, because I thought after all these years of the hormones and the side effects I have been having, I should see if it helps. I'd say if you are thinking that the Mirena is contributing to your breakouts, then you may want to talk to your doc about having it removed. Good Luck!