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I've had a Mirena IUD for two months now, and I've not noticed any hormonal type side effects. BC pills make me moody, gain weight, have sore breasts, and nauseated frequently. Haven't noticed any of that so far, and with BC pills, the side effects showed up after about a week.
The first month I bled every day (spotting), and last month I spotted a few days before my period and it looks like it's going to be the same this month. From what I've read, this is normal for up to six months. Last month I had some menstrual cramps, but they weren't very bad at all and my regular ones are curl-up-in-a-fetal-position bad. My actual period was only 2-3 days....I could just tell when it started and when the spotting stopped.
As for the actual insertion, I took 800mg of ibuprofen about an hour before the procedure, and the insertion pain felt like a sharp period cramp that lasted about 3 seconds. I was slightly crampy the rest of the day, but it wasn't anything that ibuprofen didn't take care of nicely.
As for sexual positions, I've found that deeper penetration positions can cause some discomfort, so that is something you have to work around.
One other difference...the Mirena is much more expensive than a copper one. At the clinic I went to, the copper one was about $125 and the Mirena was $400.
All in all, I'm very pleased so far with the Mirena. The spotting is annoying, but it usually goes away in 3-6 months. Mine has already lessened, so I'm hoping it will stop pretty soon. Hope this helped, lurkette!!
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"They say that patriotism is the last refuge to which a scoundrel clings; steal a little and they throw you in jail, steal a lot and they make you king"
Formerly Medusa
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