As long as your Mirena is where it should be and the strings are reachable, it should be a snap. My removal was less painful than a pap....the Dr even joked with me "Are you sure you want it out?"...."YES!" "Good, because it's already out!". Good luck and I hope that you feel better soon. Feel free to send me a private message if you'd like more details on my journey since removal...I'm closer to your age than many of the posters and it may be a little different for you, as it was for me. Take care!