I posted a couple weeks ago with just the bleeding side effects a...

I posted a couple weeks ago with just the bleeding side effects and tiredness, im feeling pretty bad now its been a couple months I have had problems with depression and panic attacks for years and i have been on paxil, but I think once i started this it has become a little worse. I am always irritated with my fiance and lash out and again we have had problems for years he is very selfish and it makes me mad but i am having blow outs at him and im not sure if its from mirena. I am always tired and not having energy, headaches, nausea and pains once in a while in the ovaries. I just don't know it i should get it out or not, i feel like taking out myself a lot. I just don't want to end up pregnant I have three wonderful kids and I am done, i was going to have my tubes tied but im scared to have surgery. Im just not sure what to do, I don't know if its all in my head or not.