birth control
"I am on my 2nd Mirena. The first insertion was similar to a pap, very little pain.  I had no noticeable side effects, and everything went well.  After 5 years, I had my new Mirena placed.  The removal was much more painful than the insertion, but well worth it.  Definitely take some Motrin ahead of time! I really haven't noticed anything different this time around. I have noticed mild breakouts and more discharge, but other than that it's great. I have not had a period or spotting since February of 2008! I had it placed in October of 2007 initially. Definitely recommend!"