I have had Mirena in for about a year. I got it because after trying birth control pills, I was getting severe migraines all the time. My doctor told me I was at risk for stroke and should never take birth control pills again. Not wanting to have to use condoms the rest of my life, I asked for options other than the pill. My doctor strongly recommended Mirena. He said I would not get migraines with this. At first there were the normal symptoms of bleeding, severe cramps, etc. But after a couple of months I was pretty happy with it. The only thing that was really bothering me was that I was gaining a lot of weight. I was only 21 at the time and had never had a problem with gaining weight in my life. It was so weird. Over the last year I have gained about 20 pounds and am really upset. About 4 months after getting Mirena I got a large cyst on one of my ovaries, but it eventually burst and went away. All of those things I suppose I could have dealt with, though. However, after about 9 or 10 months with the thing I started getting severe migraines again. I got married in June and over the past few months I have had more and more frequent migraines. I have optical auras and often feel like I have tingling in my face and hands, which is similar to what I had when on the pill. I am concerned that this could be a serious problem. I like having Mirena because it is easy and I don't have to think about it, but I am not sure what to do. I can't be having migraines all the time, and I also would rather not have the weight gain and cysts. I'm not sure what else I would use, though. If anyone has any suggestions for me, please let me know. I am only 22 and don't want kids for a while.