Exhaustion symptoms and conditions

SIX HOURS POST REMOVAL- I had my mirena removed today after 3 years and nearly 3 months. My side effects included headaches, sore breasts, weight gain, nausea, severe hair loss, depression, severe pitting edema of my right foot, cramping, hip pain, exhaustion, severe mood swings, and acne. During the first six months I had constant bleeding, which I had been told to expect. I took regular pills everyday and the bleeding stopped. Then the hair loss started. My hair came out in clumps and was EVERYWHERE. I lost about 15 inches of my hair in spots. I went to the salon and got a fantastic hair cut, I attributed my hair loss to stress. Now I'm not too sure. I also didn't feel like I was myself with the odor that I developed. No matter how many times I showered I felt not regular. Slowly but surely over the past three years I have gained 30 lbs. I worked out to try to get the weight off, I lost nothing and in fact gained weight! The pitting edema of my left foot started in July of 08. I have been tested for everything including diabetes, heart problems, clotting disorders, pregnancy, high blood pressure, kidney problems, and the list goes on to the tune of $6,000. I went to my OB back in the spring and was told if they could find nothing else then they would remove the IUD. In the interim I lost my job and subsequently my insurance. I luckily was able to get coverage again and immediately set an appointment for the removal. Insertion hurt like nothing I have ever experience, removal was quick and almost painless. I also ended up with BV (bacterial vaginosis). I feel and look as though I am about 6 or 7 months pregnant. My belly is actually the same size as it was when my son was born. I weight about 15 lbs more. My breasts were extremely swollen and sore.

I instantly felt better after removal. My hip immediately stopped tingling. I have no back pain. It felt almost like a lifting if that makes sense. I am curious to see what the next few weeks will bring and I will definitely keep you all posted.

I'm 48 and got a Mirena put in last January at the suggestion of my doctor. I'd been having menstrual migraines and we thought that a steady dose of hormones might help with the dips and prevent my headaches. Well, it has helped some, as the headaches don't come every month anymore, however, I do still get them, so it hasn't really done what we hoped. Add to that my (growing!) list of symptoms and something has to be done. I am very active. I do Taekwondo 4x a week and was working out 5x a week this summer in preparation for my black belt test. You would think that I'd lose weight with the workouts I've done for the past 10 months, but no, my weight has increased over 10lbs! And it's not muscle, either: My breasts, waist, hips and thighs have all increased. I feel bloated, tired to the point of exhaustion even after 8 hours of sleep, and all of my joints are achy. The brain-fog has gotten so bad that I've had to go back on ADD meds to try to maintain my focus at work. I'd been doing my workouts for 3 years prior to getting the Mirena, and I never felt tired the way I feel it now! I'm seeing my doctor next month and this thing is out of here!

I've had my Mirena out for nearly 2 weeks now, after 15 months of living with the side effects. I've posted before about fatigue, crankiness & irritability, low-grade depression, weight gain, poor sleep, headaches, etc -- same old story as everyone else -- that came on gradually over the months. I'm still SO grateful to this website for making it clear to me that this wasn't just typical exhaustion due to having 2 little kids (now 3yrs & 16mos) or post-natal depression. Anyway, getting the Mirena removed turned out to be an ordeal in itself -- the strings disappeared and the doctor couldn't see anything with a speculum, so I had to wait 3 weeks to get an ultrasound and it turned out to be in the right place (phew!). Then I had to wait nearly 2 months to have a hysteroscopy -- they dilate your cervix and poke a camera up inside your uterus so they can see where the coil is, then they can pull it out. The poking and prodding was a huge drag, uncomfortable but not excruciating. When they actually pulled it out it barely hurt at all. I was a bit sore for a day or two, like mild period pains but nothing serious.

So, here's the update so far: My sex drive came back the very next day after being completely gone for ages! That was such a nice feeling again, to actually want to be with my husband instead of just going along for the sake of the marriage! I haven't felt sick or achey in my joints since it came out either, and the headaches are pretty much gone after being a constant in my life. I'm sleeping easier, and generally feel healthy again -- such a relief! My energy levels are still really really low though; I sure hope they start to come back soon. I think it's going to take awhile since I'd pretty much stopped exercising due to feeling so ill and tired all the time. I'll have to build myself back up through eating better and getting back to the gym, so unfortunately I think the weight-gain and fatigue are going to take longer to 'cure'. But still, I'm so glad to have it out and know that whatever happens to my health now, at least it's not being caused by hormones that just don't belong there.

Hang in there everyone; and don't be afraid of the pain in having it removed.

hair loss, neuropathy in my right leg, complete exhaustion, numbness and tingling, stabbing pain in my back that wraps around my chest, headaches, depression, paranoia, stomach pains, chest pains, tremors in my head, pain down my neck, pain in toes, blurred vision, tearing pains in feet, very weak, moody, pain in face, really bad symptoms week prior to period, cracking sound in joints, -- Have had symptoms for three years and just had a neurologist confirm today that all of these problems have been caused by my doctor prescribing avelox and prednisone!

I had the Mirena inserted when my daughter was 6 weeks old, August 2007. I had no problems (that I THOUGHT were related to it) until end of July this year. I had next to no period up until then and then bled for nearly 3 weeks straight. Went to the doctor who said I had a miscarriage...ok so let's take it out, it obviously doesn't work for me and go back to the pill which I had been on most of my life when I wasn't pregnant with any of my 5 children. After 3 weeks of being on the pill I had it removed on 9/10. No pain at all actually but haven't stopped bleeding since! Went back to the Dr on 9/23, felt my uterus and said seemed fine. No fibroids or polyps that he could feel. Changed my pill Rx and said it should straighten out within the next 2 cycles, if not come back...on 10/5 I went back without an appt and was told by the nurse to double up on my pills to try and stop the bleeding. I scheduled an appt to see the Dr the following am. Had an internal ultrasound done and a biopsy of the lining of my uterus. Results should be back on Tuesday... my Mom & Sister told me to look online about side effects with the Mirena and I found this page. I am comparing many of the things I have been experiencing and now realize perhaps they were ALL related to the IUD. I gained weight (am actually heavier then I was after my daughter was born and I lost all my pregnancy weight within the first month), I had terrible acne, headaches, back & neck pain, constant fatigue, emotional, decreased sex drive. It has been out 4 weeks today and although my acne has improved slightly, I feel like I have been on the brink of the flu since last Saturday, no motivation, pure exhaustion, and emotional roller coaster not to mention the cramping from my biopsy that probably wasn't necessary now I'm thinking and 4 days in a row home from work... I am hoping time will heal the way I feel once the hormones adjust themselves. The pill always helped me more then it ever hurt me. I'm glad I got the Mirena out as soon as I did. Just wish I would have known sooner what it was really doing to me!

Hello, my name is pam. About 6 weeks after my son was born I had made the choice to get the mirena iud. Well for 7mon after i got it I bleed. Also, new things started happening. I went to my doctor and discovered that I had an awful yeast infection due to the iud not being set right. He gave me one round of meds just for yeast infections. I went back for a check up and it hadn't cleared a bit. Got second round of med. Then about 2wks afterward I got a call from my doctor. He said that they found yeast infection, staff infection, and a strep infection that I am still having problems with after the level 4 anti-biotic that he gave me. I have headaches, body aches, no sex drive what so ever, mood swings that would send anyone away, and I am also on anti-depression meds ever since Ive had the iud.

Vertigo, weakness, fatigue, exhaustion, aching numbness in arms, numbness in face arms and legs, extreme pressure in head and neck, burning feeling radiating from the base of my neck through shoulder blades to arms, foggy brain, waking up feeling (for no reason) like I have a major hang over, chills, aching feet, weight gain, feeling very fearful of my symptoms because they feel like nothing I have ever experienced.
THESE LAST 4 WEEKS HAVE BEEN HELL!
I had my Mirena inserted on June 30 2008. I experienced mild discomfort for the first 4-6 weeks. The spotting was the worst of it and that was no more than an inconvenience. I was happy with my choice of birth control.
Then this hell began about three months after insertion.
During the last week of September the symptoms listed above started. They were mild at first but by within a week and a half I felt HORRIBLE. I suspected that it may be the Mirena, but at the same time I thought I was dying.
October 1 or 2nd (it is all a blur) I was home by myself when I started feeling the numbness and head pressure coming on again (my symptoms were coming and going, not constant) so I laid down on the couch to get off my feet. All of a sudden I felt like I was losing consciousness. I grabbed the phone and called my husband to get me to the ER. I thought I was dying. A blood clot or something. Once there, they did blood test after blood test, an EKG, urine tests, and basically I was told that there were no major system problems. I know this sounds a like classic anxiety, but I know it is not. I have to say they were very good there and encouraged me to see my family physician (whom I had already been to earlier that week) again.
I called to make an appointment to have the Mirena removed the very next day. My GYN kind of shrugged off what I was going through saying that it was anxiety and asked if I still wanted the thing removed!!! of course I did. Having that thing removed was very empowering. I was feeling so helpless and it was the one thing that I could do to possibly help my situation. The feeling of relief was amazing.
I did see my family physician again who agrees that what I am going though is related to the Mirena. She did ordered a CAT scan (came back negative) just in case.
Post removal (It has been 17 days) I have been slowly getting better. My "episodes" are getting more and more diminished and further apart. I have noticed that I am flooded with exhaustion after each of these "episodes". I also never know when there going to strike making it hard to make plans. My husband has been very supportive through out and was convinced before I was that it was the IUD. He has volunteered to get a vasectomy.
GOOD LUCK TO ALL YOU LADIES.
If you have stumbled across this because you are desperately searching for answers, all I can tell you is that I believe that the Mirena IUD has had devastating effects on many, many women, but hang in there you are not alone and you are not insane. What you are experiencing is very real. Have it removed ASAP!!!!!!!!!!

I was on Yasmin for 1.5 years. Ended up with chest pains, severe Vitamin D deficiency, B12/Folic Acid deficiency, elevated potassium and unbelievable fatigue/exhaustion along with muscle loss. I have now been off for almost 3 years and do not feel completely recovered. I'd encourage folks to google Yasmin/Yaz lawsuits as they are just beginning and I expect will eventually come off of the market due to finally, recognized increased risk of these pills with pulmonary embolisms, stroke, heart attack and blood clots. Also, if you google Yasmin Survivors, there is an international forum of women who have been sharing and contributing now for last 3 years as well.

I am feeling such relief right now- I'm not alone. After having EKGs and Cardio-pulmonary stress tests, CAT scans of my lungs and chest, an abdominal ultra sound, and stress echocardiograms (all of these were normal or negative, mind you), not to mention months of anxiety, I finally started talking with a cardiologist to see if I had done/started anything around the time my symptoms started. I realized I had switched from an oral (orthotricyclen) to nuvaring birth control about two months before I started my symptoms of no sex drive, difficulty breathing, exhaustion, and severe anxiety. To elaborate- I was a national champion soccer player, I've always been in great shape, and I couldn't walk up a flight of stairs without being exhausted. I couldn't hold a five minute conversation without chest tightness and difficulty breathing. Everyone kept saying I was stressed (new job, new house), but I know I wasn't doing anything that unusually stressful. I love my job, and my house, and while I realize they may cause some stress, I shouldn't CONSTANTLY feel like this.

The most pressing issue, of course, was the breathing stuff. The doctor suggested, even though he wasn't familiar with the nuvaring side effects, that I take it out to see if there was any change. After reading what all of you have written, and after being off it for two weeks, and beginning to feel a change, I'm pretty damn sure it was Nuvaring. I already remember that my husband is sexy, and I'm able to go on dog walks without getting winded. I also am happier, and feel more awake, than I have in a year.

THANK YOU ALL for posting. I'm going to warn my girlfriends of this stuff- I wish my doctor (who is no longer my doctor) had said more than "there really aren't any side effects except some discharge- nothing different than the usual pill side effects".

Oh Mirena..... how i wanted you to work so badly.... But alas, you have failed me.

I got the Mirena IUD inserted in February of 2009. The insertion was terribly painful, but my doctor had warned of that since I haven't had any children and I would have a smaller uterus than women who had. The pain and nausea caused by the insertion went away within 8-12 hours. For the first three months, it did everything it was supposed to do: normal periods, no weight gain, no (new) mood swings, effective contraception... Beginning on day 1 of the fourth month, things went crazy. I have had 10 periods in 6 months, some lasting about 8 days and starting again 7-8 days later. I had a two day long migraine (I've never had one before this). I have been unbelievably moody, have experienced an extremely decreased sex-drive, bloating, exhaustion, the list goes on.

So when I couldn't take it anymore, I went to the doctor and the strings were no where to be found. Then I went for an ultrasound and sure enough, the Mirena had relocated itself between my cervix and rectum........... Not to mention, there's a 4.5cm cyst on one of my ovaries. The next step is a laparoscopy (procedure where the enter through the belly button) to retrieve the Mirena and check out the cyst.

I thought Mirena was going to be such a dream, but it's turned out to be a nightmare. I never had any adverse side effects from the pill in the 6 years I used it prior to Mirena and now I wish I had never switched. I know people that it's worked for without trouble, but unfortunately I was not that lucky. Like most of you, I had researched more than I felt necessary and read all the negative side effects others experienced, I just hoped that wouldn't happen to me. I'm not telling anyone not to get it, I would just advise that you don't switch to Mirena if you have something that is working properly. It's simply not worth it (financially, physically or emotionally).

I have been reading all of your Simvastatin experiences with high interest and would like to share my adventures with all of you as well. My story began seven years ago when I was relatively healthy and enjoying life. My doctor prescribed Lipitor for my elevated cholesterol and two months later I found myself in the emergency room after having a severe bout with vertigo for the first time in my life. I have since spent the last seven years fighting this debilitating illness which continues to haunt me after having seen every top neurologist in my area and having taken every neurological test available. It would be as difficult to convince me that I was not somehow "poisoned" by Lipitor as it was for me to convince my doctor.

I was eventually prescribed Simvastatin 40MG and seemed to stabilize for a few years even though my dizziness problems persisted. Suddenly I began experiencing bouts of upset stomach and severe lower abdominal pain. I allowed my doctor to order basically every nasty test known to man in an effort to discover the cause of this new problem, but all have come up negative so far. Eventually I began to experience total exhaustion in the middle of my work day, not to mention the back, neck, and muscle pain that has been described so vividly in this forum. Basically, I have become a 53 year old man who feels much older, has absolutely no energy, and rarely has a day when I can honestly say I feel alive and well.

I am not a doctor and I can't honestly prove that Simvastatin is the cause of all of my problems. However, I do have common sense and after reading all of your thoughtful comments on the subject I would be foolish to at least not suspect that the drug may possibly be making me less healthy and not more healthy. Thank you all for opening my mind to this possibility and I certainly plan on discussing this with my doctor very soon, who may no longer by my doctor should he continue to insist that I take this nasty drug.

I'm feeling the same as many of you ladies on here- it's certainly breaking my heart for all of you too. If we had known then what we knew now....
I got my Mirena about 6 months after the birth of my daughter and then spiraled into some serious depression. I'm so horrified now thinking back about how angry and ungrateful I was to my husband- I returned everything he gave me for Christmas in an angry huff. My behavior was awful AND it wasn't me. Over the next two years I had serious mood issues felt pregnant all the time (I even took to buying those dollar store tests so I could relieve my suspicions each time but not spend a fortune). And then there were the headaches. I had always had hormone related headaches (a few a month) so they weren't really new to me, but it got to a point where I was having so many I went to a neurologist for help - he asked me to chart them, I fund I was having 14 to 16 days a month with pain. I think the "off" days were just off because I was still under the influence of the pain drugs from the day before. My husband and I were planning on a third anyway- and suddenly I really wanted this thing out! I took it out, here I am, 9 months later- headache free!!! 9 months of no headaches and the "freedom" came within days of removal. I have now been trying to get pregnant for 9 months too- my period returned immediately after removal (the one perk I loved of the Mirena was no period) unfortunately, I can't seem to get pregnant. This, from a woman who seemingly got pregnant just by her husband looking at her. Literally, 3 cycles pre-mirena, meant 3 pregnancies for me. We had to be seriously careful- I'm terrified that this thing has now caused me to be infertile. I have been tracking my cycles watching for my ovulation and I can't find it despite having a regular 28 day cycle. Don't get Mirena- it's just not worth it

I had the Mirena inserted 6 weeks post postpartum so it has been in about two and a half months, since then I have turned into a crazy woman. At first I thought it was postpartum depression but then I got to thinking I was fine up until my six week check up.
Symptoms include the following:
Chest pain
Extreme Nausea
Exhaustion
Irritability
Uncontrollable Crying
Loss of hair
Anxiety
Dry skin
Hair on my legs grows out of control I have to shave them EVERY day as opposed to my every three day schedule.
I have been on my period since they put it in basically have had a combined total of seven days of not bleeding. ugh.
Me and my Husband have fought every day since I have been on this.
It's getting RIPPED out lol on Wednesday.
If I would have known what it would do to me I never would have got it!

I have been experiencing very severe cramps, nausea, mood swings and exhaustion. I have had the Mirena only for 18 days now and I am frustrated because I am not really sure if I should wait and endure the side effects or if I should just get rid of it. I am going to see a doc today so hopefully they can give me some good advice about how to proceed.

Is it worth it? When should I take the initiative to go and get an ultrasound? How much pain should i put up with?

I had my Mirena inserted March 27, 2009. I have had constant bleeding and exhaustion. I cannot sleep on my stomach or back at night due to the cramping. Though my body is thin, I look like I am pregnant due to the bloating and have actually had people ask me if I am pregnant. My breasts are huge and swollen, size 34dd! I just developed severe vertigo, and am having the Mirena removed tomorrow. I am scared that the symptoms will not improve, and many have noted that the symptoms worsened before improving. I switched to the Mirena from birth control because I had depression and anxiety from the Pill, and now am worried about the post-Mirena crash, depression, and anxiety being worse.

I have had my Mirena since 11/2008. I had it put in 2 months after my 2nd child was born. The insertion was easy and painless. I got a little crampy the first week and then after that all hell broke loose. I had a continuous non stop period from November 08 to June 09. I called my doctor several times and they put me on a hormone patch to try to stop the bleeding. It didn't work. I was told that the bleeding should stop by 6 months so I figured I would put up with it until then. 6 months approached and still bleeding, 7 months still bleeding, 8 months still bleeding. Finally at 9 months the bleeding stopped and I was thrilled. My excitement didn't last long. After one week of having no period and being excited I started developing what I thought was morning sickness. My breasts hurt, morning sickness (day and night), bloating, exhaustion, and so on. I thought for sure that I was pregnant. I made an appointment to see the doctor who informed me that my Mirena was still in place. She also did a urine pregnancy test and blood test, which both came back negative. She had no answers for why I was experiencing the symptoms. Now 3 weeks later, I still am having the side effects. My gut is telling me that it is a new side effect from the IUD. I believe that my body is now confused with the loss of a period and it is acting like I am pregnant. I have taken 6 pregnancy tests at home over the last several weeks, terrified that I am pregnant because of how I am feeling. I have had enough and called the doctor today to have it removed tomorrow. I am not going through the symptoms of pregnancy as my pregnancies were rough. I had morning sickness with both my children morning, noon and night the entire time and it was awful. I am definitely not going to put up with the feeling of being pregnant and all the nasty morning sickness feelings without the reward of an actual baby at the end. I would not recommend Mirena to anyone!

Well, I had Mirena put in in March and the insertion was fine, I had to go back to get the strings cut because my husband was being "poked", but I felt fine UNTIL a month or so ago, I feel dizzy almost to the point of blacking out, nauseous, but not actually throwing up, and very tired, now i do have a 6mo old and a 3 yr old, but they both sleep through the night, and so do I, but i'm just exhausted all the time now. Also, I can't seem to control my emotions, my poor husband gets the brunt of it. I have an appointment with the doc to discuss my options. Hopefully I can get it removed and back on the patch which worked good for me. I wanted Mirena because I like the idea of no periods, which IS really cool. But the exhaustion and nausea just arent worth it if I can't be a good mom and wife.

I have had asthma since i was 10. I am 44 years old now. I have never in my life been on prednisone this long (since Feb 2009). It is now July 11,2009. I was admitted to the hospital for IV steriods (prednisone) because for the first time in my life the general 10 course with the pills wasn't working. so there i was on 165mg of pred every 6hrs. After eight days in the hospital i was released and was to take 40mg for five days and decrease by 5mg until done. I didn't do to well and had severe exhaustion where i couldn't even walk 2 steps the next day. so I went to my pulmonary dr. who said he noticed a severe anxiety side affect in me from the drug and said i needed to get off it as soon as possible, he had me drop my dose every day by 5mg. TO FAST! I had breathing problems again, started over going slower, got down to 10mg and had to jump to 40mg again! side effects for me are severe anxiety (which i have to take ativan for) and especially massive painful foot cramps. My hands will cramp to while trying to write, but the foot cramps and the feeling of being wired are the worst. I am still trying to wean off....sometimes i wonder if i will ever finally be off this stuff. I just want to cry sometimes. It feels like being pregnant and going thru post partum at the same time

Can anybody tell me how long this lasts? I've been off it for a week and still no relief. The drug should be out of my system now. Any feedback would be appreciated.

It seems that everyone is having similar symptoms. I have been on Doxy for about 14 days now and I'm feeling worse every day. I am on it because i had been bitten by a tick and contracted Lyme disease. I don't know much about the disease but it has me freaked out. I started taking the antibiotic 2 weeks after being bitten; losing my balance and almost falling to the ground. I also had a couple of dizzy spells after eating. I seemed to feel a little bit better the first week of taking it but started feeling the side effects. It started out with the occasional dizzy spell then came the exhaustion, anxiety, depression, lower back aches, soreness in the back of my eyes, stiff neck, headache in the back of my head, flu like shivers, racing heart, and complete body aches. I also found out the hard way not to go out into the sun while on Doxy. Felt like the tops of my hands were being pricked with a million needles and burning. I wish I could stop taking the drug and be done, but I am already scared about the outcome of the Lyme disease. I hope I can feel normal again soon.

I took this garbage for four days until I had to go to the ER for shortness of breath, chest pain, stomach pain, pins and needles sensation in limbs, hot flashes (felt like I had a fever) and blurry vision. The worst was the complete and utter mental breakdown, I became suicidal and had just horrible images coming through my brain.

It's been a week now and while the depression/suicidal thoughts have subsided, the anxiety, exhaustion, shortness of breath, and stomach pain remain. I'm curious how I can still have these horrible effects taking into consideration the half life of this drug. It should be out of my system now.

Any idea of how much longer this is going to last?

I don't know where to begin; I have a text box in front of me that says "add a new side effect of the Mirena" but all I see are the same side effects over and over. That, in itself, speakes volumes. As for myself, it's been depression, weight gain, exhaustion and yet unable to sleep, pain down to my knees - of course all of these symptoms can be explained by everything else in the world - who, these days doesn't have money problems, stress, employment fragility, etc.? But I know myself, and this is wrong.

I had mine put in March 2009 and after a month I told my doctor I wanted it out. She said I didn't give it enough time (apparently six months is the magic number).

It's now been three months and getting out of bed is an act of heroism for me. Sex is out of the question (well, we have given it a go a couple of times and he can indeed feel the strings, contrary to what I was told - perhaps it's because he's - er - oh, never mind.)

I bleed erratically and it stinks; if I hadn't lost my sex drive already I'd be put off just by that.

I got the thing not for birth control but for pain and bleeding (not that it makes a difference)- it has made the pain worse, so I don't understand why I'm so nervous about asking my doctor (tomorrow - Monday) to have it removed?

I was on doxycycline for three months for chronic prostatitis. I had similar bad side effects start last week, nausia, pain in the stomach, weakness in the legs, exhaustion, dizziness, etc... But no depression "yet". I have been off the doxycycline for four days and still having bad symptoms. I read your posts --- Thank you! I have read that doxycyline depletes the body of B vitamins. Many of the symptoms described by many of the posts are similar to depletion of B vitamins. Have any of you been tested for B vitamin depletion?

I was on doxycycline for three months for chronic prostatitis. I had similar bad side effects start last week, nausea, pain in the stomach, weakness in the legs, exhaustion, dizziness, etc... But no depression "yet". I have been off the doxycycline for four days and still having symptoms. I read your posts --- Thank you! I have read that doxycyline depletes the body of B vitamins at ****** Many of the symptoms described by many of the posts are similar to depletion of B vitamins. Have any of you been tested for B vitamin depletion?

Sorry to post again, but NO ONE REPLIED TO MY POST!

I am 5 days post removal and need reassurance. Unlike everyone else, I have NOT felt better right away. I am just as tired (if not more), more irritable, and JUST GOT ACNE on my face and arms 2 days AFTER removal! I'm still dizzy and the brain fog is just as bad. Have not bled a drop at all.

I know everyone is different, but my removal experience has been completely different... don't feel better, no bleeding/clots, no immediate improvement. IS SOMETHING WRONG WITH ME??? Was it not the Mirena after all???