I love, love, love, love my Mirena!! Best $ I ever spent!
I don't think you'll get weight gain from it. It doesn't have the hormones that BC pills do. The only hormones I notice are my own! You might even lose a bit if you are going to it from BC.
My favorite part is that I no longer have periods or cramps. I get the other stuff, periodic blemishes, mood shifts (not dramatic), water retention, etc. But, no more bleeding and pain!! YAY!
I honestly didn't think it hurt that bad going in. It's a tiny little sucker. The pap I had at the same visit hurt more. I did have about 2 days of cramping (not severe, but defnitely something I wanted to take Advil for). Also, for the first time, your periods will start changing and can be less regular and even intermitant. For the first couple of months, just be prepared for light spotting. I don't think everyone loses them altogether, but one of the ways it works is by drastically thinning out the lining of the uterus, so by default they will be much lighter.
After DD turned 7, I noticed that I had some spotting and went to have it replaced. They give you a range of 5 to 7 years and I was probably on the oustide of that. Having it removed was a piece of cake, pain-wise also. I didn't feel much.
Good luck with it!
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