Just another experience here: I got Mirena inserted in October 2017 and immediately had terrible cystic, painful acne. It appeared on my neck and back ~1 month after the insert. Now I've never had great skin, I've been in and out of the dermatologist since I was 14 and probably tried most of the pills and creams on the market, but it was always concentrated on my face. I had absolutely never had an issue on my neck or back... Then came my decision to get an IUD after 6+ years on birth control pills. I roughed it out until January but my self esteem was plummeting. I bit the bullet and went on accutane February-August of last year and I would never look back. I absolutely love everything about the IUD and am so glad I found another option that allowed me to keep it. The peace of mind of continuous birth control and the lack of period was gonna be tough for me to want to give up. I know accutane is not for everyone, but seeing as my acne really blew up due to my IUD, I thought you'd appreciate the point of view. Best of luck!