birth control
"I'm in my 40s and have had this for 5 years and I absolutely love it. The insertion, while not painful, made me nauseous to the point where I almost passed out when I stood up. My doctor (a man) told me nothing about what to expect with insertion. You should take a motrin before the procedure. That being said, it's been effective and completely problem free.  I wish I'd known about this years ago.  Only about 9% of women in the US use this method, whereas in Europe it's about 31% and in China 40%.  Doctors need to be telling their patients about this option. I didn't know about it! The pill absolutely killed my sex drive, as it did with my sister.  My sister's now gotten one and we've both been very happy. Lasts 10+ years or until removal."