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Thanks! I really want to know before I go through the process of getting it inserted (and pay for it!) 
I've only had the Mirena for two months, but I'll happily chime in. The Mirena, for me, is just incredible. It's reduced my natural hunger/appetite for most weeks of the month (rather than increasing it, which was a bad side effect of the pill for me), I've had no acne problems at all, and my period is nearly non-existant. As for your real question of has it altered my sex drive, the answer is "yes and no." It definitely hasn't changed my interest in sex -- we're having it just as often, if not even more often since there's no worries about messy sex during my period -- but I do feel like it's changed my ability to, um, "finish the deed" on my end. So, I'm still absolutely interested in getting it on all the time, but the end result is a little different. It was a bit frustrating at first, but the trade off is worth it to me, and I'm now comfortable with the fact that I won't finish quite as frequently. And since it hasn't changed my desire to engage in sex, I'm happy because we're still intimate all the time.
I was on the other IUD, the Paragard, for about a year but switched to Mirena because I found that, like most women, Paragard caused SUPER heavy periods and major cramping. While there were no sexual side effects at all, my periods were so heavy that I feared I'd become anemic. On the Mirena, I'm willing to accept a lower "completion rate," as my one and only side effect since the other benefits have just been outstanding for me. Of course every woman is different, but I've had a great experience.
I've had my Mirena for a little over 2 years now, and while I do love the fewer, lighter periods (and that honestly I hardly ever bleed at all), I absolutely have noticed a decrease in my sex drive. To the point where I'm considering removing it altogether and going back on the pill or *gasp* using condoms. It's been very frustrating for FI and, therefore, very frustrating for me. 
Also, I sometimes have terrible cramping. The cramping I've felt since I got the Mirena is unlike anything I've ever felt before, and my gyno suggested it is possibly my body trying to expel it, as it is, after all, a foreign body inside me. I had a really hard time with the insertion as well (it was the most painful experience of my life), but I have never had a child before so my cervix is pretty, erm... tight? Some doctors won't even insert in a woman who has not given birth. Another friend of mine got hers several weeks after giving birth and said it slid right in.
Thirdly, I do have some acne problems that said gyno said might be a result of the Mirena, but I hesitate to correlate as I've pretty much always had bad skin. But I'll say that right now I'm on an antibiotic to clear up my skin (hello wedding in like 4 days) but I'm still getting some cystic acne that's just not clearing up.
It's hard to say for sure that all these things are correlated with the Mirena (ok, the cramping I'm absolutely positive of), plus, everyone has different experiences. These are just mine. Definitely do some research, but don't take any one word as gospel! Good luck :)
Every woman is different... but I've had the Mirena for 5+ years now, and I've never noticed any difference in my sex drive (or any other side effects for that matter).
I'm on Mirena #2, and I *definitely* notice a decrease in sex drive for about the first year or so after it's inserted. Right after I got the first one inserted, I broke up with my boyfriend and spent a while being single, so I didn't notice as much. And my fiance and I started dating when my sex drive had begun to recover from the first one being inserted, to the point where I had basically forgotten about how bad of a side effect it was for me. Now that the second one is in, though, I've definitely seen a correlation - Mirena inserted -> sex drive plummets.
I had the Mirena in for 3-4 months, that is all I could handle. I had zero sex drive, got migraines more frequent than normal, had horrible cramping, bad mood swings. Also getting that put in my body was the most painful horrifing experience of my life (and I've had an appendectomy, knee surgeries) this was by far the absolute worst.
I understand that every woman is different but I wouldn't recommend it to any of my friends.
One of my BM's sisters got it and after only 1.5 months had it removed because she too had all my horrible symptoms, and a few more. Have you tried Nuvaring? I used that for awhile before going back to the pill and it worked well, my insurance just stopped paying.
I don't take well to hormonal birthcontrol, so I had the Paragard. It was fine. The insertion hurt a little bit... It was two days of cramps, then NOTHING. No pain, Very light periods, and no effect on my sex drive. But the Paragard is not hormonal like the Mirena. Mirena has hormones in it. Paragard has small copper wires on it.
@Soon2beeMrsM: My gyne told me to expect "some pressure" during the insertion process, so I took 3 ibuprofen beforehand. Both times I had the Mirena inserted, I had a pain-induced vagal response and passed out. My freshman year in high school, I broke my ankle and *walked on it* to the nurse's office. You are not alone in having an impressively sensitive cervix.
I'm scared now! 
I had heard of the pain but not this bad. I don't have kids so I would be in that small cervix camp. I am not sure it's worth it, especially since it seems sex drive may still be affected. Let's hope this Mircette works out!
I have had a mirena for a year and two months.. the pain lasted about 2 seconds and that was it.. I cramped for a couple of hours afterwords and I have never had children. My sex drive is through the roof.. just fyi :D
@TheRen: I'm really glad to hear such a strongly positive experience... I've been interested in it like many women but had only heard horror stories of terrible pain during insertion, zero sex drive, and crazy weight gain. But it's still on the market, so SOMEONE has to like it!
@futurediplomatswife: I am already a plus size girl and I have lost 37 lbs since nov (my mirena was inserted in April 2009). I havent had a period since June 2009. The only thing I have noticed is ive had a few more headaches with it, but since my periods were out of control... its worth it to me.
I have had the mirena for 8 months. Insertion pain was 9/10, but quick. Moderate cramping, and I had spotting daily for 4-6 months. Sex drive went down, now ok. (Baseline = high). My periods are a little longer (from 6 days to 9-10 days) but went from moderate-heavy to light flow. I am hoping this improves.
I know this sounds bad, but compared to the weekly debilitating migraines on anything with estrogen, the 99.99% effectiveness rate, and the virtual idiot-proofness of it, I still think it's the best method for me.
I've had two different copper IUDs before and this time 'round decided to start Mirena as the thought of having little/no period sounded great and my Doc ASSURED me that since the hormone was transmitted via: uterus, that it wouldn't have any of the negative side effects that the pill or other hormals BC choices have.
First, it hurt so much to have in I threw up. Right then and there, in the garbage pail in the exam room. (sorry tmi). Within a week I started feeling very down and overwhelmed, my sex drive went to 0, and I looked like I was 3 months preggers. My abdomen was hard and wouldn't go down at all.
I had it taken out after 6 weeks and had a copper one put in a week later.
Everyone is different, but I think the Mirena is the devil :(
I had my Mirena inserted in September of 2010 and I have one period since then. I have not had any break outs, but sometimes i do have a little cramping (its more annoying than anything). The worst part for me was having it inserted, i dont have any kids so thats prolly why. I would recommend it to anyone!!
I have had the Mirena for 6 months now. At first it was a little rough with the pain of insertion and the pain I was in for a week after. I had a some problems with the strings. I couldn't do some sexual positions because my partner could feel them poking him. I made another appointment with my gyno and she cliped the stings. My partner can't feel it now.
The only down side I've discovered is acne. I've never had it in my life and now I'm developing cyst like zits. Thankfully it only flares up when I'm about to have my period.
Condoms just didn't work for us and the pill made me feel like I was pmsing all the time. To buy the mirena was a little expensive, around $400. Thankfully my partner paid for half.
I'm a 'lets do it now' person and this has made our sex life amazing. We don't have to worry about putting a condom on or if I missed a pill. Plus the ever so popular pull out method was just too scary to deal with with it came to getting pregnant. Now we can have sex and not worry about anything other then having a great time.
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Hey all!
I've been on the pill for 10+ years. I recently switched pills because the one I was taking killed my sex drive. I was on the new pill for about 3 months and got horrible face and body acne and noticed no real improvement in my sex drive. I have since changed to another pill but have decided this is my last shot. If this pill does not work out, I am seriously considering Mirena or another IUD.
Those of you that have gone the Mirena route, have you noticed a change in sex drive? I'm usually very active and I would like to get back to that. Also, any problems with acne on Mirena? Any tips, advice, experience is welcome. Thanks!