It's been about two months since I've had the IUD in and I wanted to post an update on my status:
(1) Acne: The acne situation got pretty bad so I went to a dermatologist. I was prescribed two things: minocycline (an oral antibiotic) and adapalene (a topical cream). My face has really cleared up. I went to the dermatologist for a follow up visit about two weeks ago and he was pleased with the progress. I'm supposed to stay on the oral antibiotic for two more months. I have redness/small bumps on my chin and forehead now but nothing like the massive zits that were there before the dermatologist visit.
(2) Cramps: I had zero cramps with the first period but have not had my second period yet.
(3) Bleeding: The bleeding with the first period was pretty heavy, much heavier than on the pill. Nothing you couldn't deal with if you're just a regulary office worker, though.
(4) Other side effects: Generally feel better than when on the pill. I really do love the absence of hormones. I can't really pinpoint it, but I feel better. I hope that these symptoms improve over time and my hormones regulate.