birth control
"I had such horrible time with my mirena. I wasn't instructed to take medication for pain before insertion. Insertion itself was painful but as I got home, I was in nauseating pain for 1hr. I finally took a vicodine to be able to ease some pain. I did not have a period for the first 8 mo the after insertion. In the year and a half since I have had the devise in I have gained 40 pounds. I never had weight issues. My mood has turned really aggressive and I loose it over little things. I am depressed a lot  and have no idea why. I had mine removed today and it wasn't as painful as insertion but I did feel some intense pressure pain during the removal.... I hope this can help someone!!!"