I had a very terrible time with my mirena. kept it for 2 years, because i am like you, i don't like the other options either. My husband finally convinced me to have it taken out - for some of your same problems, pain during intercourse, bad cramping and inability to lose weight. I actually lost about 15 lbs within the 6 weeks from my last sons birth to getting the mirena, and have since then gained about 40 - and i have always been very thin. I know others who love it and have gotten it a second time. it is nice to not have to worry about pregnancy. I had mine taken out 2 months ago and am thinking my hormones are out of whack from the new pill i am taking, causing me to fear i may be expecting. the pill is always scary, so many people become pregnate on it. ... I think they all suck... oh, i have lost about 5 lbs since getting it out though.. but if i have another child there will be more weight gain instead of weight loss...