If you are finding yourself at this website and are 33-40 years old get the Mirena removed! If you are having side effects similar to perimenopause get the Mirena removed. I feel better than I have in the past 4 years and wish I had never gotten the evil medicated device. I feel that I have waisted 4 years attributing my symptoms to aging and I was wrong. I wish I had connected the two sooner. I feel so much better. If you have Mirena and no symptoms go for it and take your chances for perimenopause, breast cancer, uterine cancer and inflammatory disease.