AIBU to change my mind about having another Mirena Coil

[boringnickname]

I have had a mirena coil for 5.5 years now and it is due to come out next month, this is having to be done under sedation (they wanted GA i said fuck right off) in hospital because they can't seem to be able to get it out hmm.

The original plan was to have another coil, but when the doc couldnt remove it he said that he probably could get it out but wouldnt be able to get anotehr back in, so i was referred to FP clinic where i thought a more experienced doctor would put anotehr in. Cue much vascillating on my part - do i REALLY want to go through all of this?

I am now booked to have this done in a private hospital (at the NHS expense! shock) but i think i want to change my mind, i dont want another coil. Or at least im not sure.

I am not sure it ever agreed with me - i have had really bad depression since DD born, and anxiety - i am worried after many threads linking mirena with depression and spoke to my doctor about this who would not accept the link was any more than accecdotal. I put on 4 stone since it was put in - but this coincides with being on ADs and finishing breast feeding, ive always been a big girl.

So the other day i started having doubts and said to DP, "i dont want anotehr coil" to which he of course said, tahts fine, we will find another contraceptive. Then after some time looked at me and said "but what about PMT, you can be homicidal" this is only a slight exaggeration blush I haven't had a period for the whole time i have had this coil, although now it is late out i have noticed some spotting and some definate mood swings. Im 41 so im also thinking about menopause.

I just don't know what to do - on paper, i think i should have another coil, but there is something niggling the back of my head saying that "are you sure it was PND and a nervous breakdown and not the coil"

Does anyone have any thoughts, i suspect i wont have the option to have another coil if i don't have it put in next month as my cervix seems to have lost itself so insertion is not going to be straightforward.

I do feel rather pushed into having another by the FP clinic and im sure its not because they think i can't manage contraception at the age of 41!!!

The important thing is not to feel pushed into anything. I'm currently on my second one, and it suits me really well (although I do need a local to have it removed / replaced by a gynaecologist as it's too difficult for my GP).

What other methods have you tried? What about the implant? I think it's the same hormones as the mirena, although in a different amount.

Can you ask for another consultation at the clinic before they take any action?

Sorry I can't help more. Just didn't want to leave you unanswered!

It is difficult to know for certain whether any MH issues have been caused by Mirena when over a period of 5 years there are bound to be other factors that could cause depression, anxiety and so on. I think though that your doctor was wrong to dismiss your concerns about this when Bayer's product monograph explicitly states that depression while using Mirena may be drug-induced.

I guess it's a case of weighing up the pros and cons of all available forms of contraception available. If Mirena may be causing MH problems then that may rule out other hormonal contraceptives - what about barrier methods?

meh, two 'availables' - sorry!