birth control
"I just had my 2nd Mirena put in today.  I'm 41 and had to stop taking the Pill when I turned 35 because I am a smoker.  I haven't thought about my IUD since the first week I had it put in 5 years ago - that's how well it works for me. Removal was much less painful than I thought it would be.  It felt like a "tug" inside.  Insertion is never fun.  It feels like a strong contraction.  It's been 6 hours since my appointment, I have no bleeding and just a little cramping.  I have never had any problems with hormonal based Birth Control - if you have, Mirena might not be the best option for you, talk to your doctor."