Got the Mirena out yesterday...nearly instant relief of the bloated stomach, foggy head, constant headache. I slept like a baby for the first time in 2 years, I feel clear headed and HAPPY today. Had some cramping after she took it out and spotted for a few hours. It had started to embed itself in my uterus and when she removed it the pain I've been experiencing for the past 2 weeks was immediately GONE. Of course she attempted to give me a million ways to fix all my side effects without taking the "plastic nightmare" out of me but I was firm and told her that it was coming out if I had to take it out myself. Started the patch same day, still anticipating some bleeding but so far nothing to speak of aside from feeling immense relief. I had acne (horrible cystic acne on my back) hair falling out in handfuls, bloated, couldn't lose 5lbs even though I eat clean and work out 6 days a week, bacterial vaginosis several times, foggy head, mood swings like never before, my blood pressure was beginning to raise, stomach and back pains, i could go on for days. I do want to point out that had you asked me 1 1/2 years into having the Mirena if I was happy with it I would have said absolutely, I had no period and no side effects until having it for almost 2 years!