I cannot believe what I'm reading, but I am SO glad I finally questioned the link between the Mirena and my struggle since the birth of my twins in Sept 07. I had the Mirena inserted in Dec 07 and I have not felt right ever since. I've attributed all of this to the fact that my hormones must just not be in balance after giving birth and that i breastfed for 14mos. I have been KILLING myself working out- recently running a half marathon, cross training, taking bikram yoga, eating small meals 6 times daily, limiting alcohol. I am honestly NO lighter than I was almost a year ago and aside from a little more toning, my belly is actually MORE bloated now. I have no sex drive, have headaches, am cranky, my periods last FOREVER and it's all 'old' clotty bleeding- so disgusting and SO painful during the entire period. I thought I was just tired because i work full time, have twins, don't sleep much, etc... but honestly- I know I'm just not "right". I too have considered anti-depressants recently and have never EVER thought I'd resort to such measures. I didn't even need them when my babies were in the NICU for 11wks due to severe prematurity and all the stresses that accompany that world (they are perfect and fine now at 16mos). Anyway, I made the appt to have this #$@#@ thing removed. They want me to wait until I'm on my next period because it's supposedly easier to remove then, but I'm considering calling and making them just do it NOW. I can't believe what a nightmare this thing has been for me and all of you ladies. THANK you for your posts. They gave me the courage to take the next step.