<s>[INST] Hi I had the mirena coil fitted three months ago , iv been feeling really low depressed iv got acne plus iv had continuos spotting a brown discharge Im a single mother I three children to look after and I also get really bad headaches my family planning clinic refuses to take it out what can I do plus I need to know when I'm on a period for religious reasons and because I'm spotting all the time I can't tell so it is stopping me from performing religious duties what can I do if they refuse to take it telling me to give it time [/INST] Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.Depression (mood swings) and unexpected bleeding are some of the common side effects of IUD's. In some cases the side effects do go away after sometime, so you have a choice either wait to get used to it or have it removed.I hope this answered your question. </s>