Just a word of encouragment to those contemplating having their Mirena removed. I was a bit frightened by the reports that removal was painful and caused severe bleeding. I had mine removed yesterday, and I must say, IN MY EXPERIENCE, the fear was much worse than reality. In fact, if it wasn't for the nurse saying "ok, honey, its out", I wouldn't have even known it was done and over with. For me, it was no worse than having a pap smear, and I had very little spotting for a few hours afterward and some very mild cramping, nothing like the cramps I have had while having it in. Just knowing it is out is a big relief, just didnt want anyone to delay having it removed for fear of that pain, everyone is different, but in my experience it was a breeze!