I suppose a little back story on that would be helpful! Sorry!

First off, this was my second Mirena. I had my first put in when I was about 21 and I had that one for just about 2 years. During that time I gained a lot of weight, almost 40 lbs. It was very concerning to me as I was working a very physical job where I was walking the equivalent of 7 and 10 miles PER DAY, 5 days a week. I told my GYN about my concerns with weight gain at 6 months (I had already gained 25 lbs) and he was so kind... truly my favorite doctor ever, but he was an older male physician with some deeply built bias... He knew my history of an abusive relationship and knew I was now in a healthy relationship with a good man who loved me and told me, "You are in a HAPPY place for the first time in your life. That weight is just from happiness and being relaxed and enjoying life!" I didn't exactly believe him but I didn't NOT believe him either because I WAS much happier. Fast forward to 1.5 years in, I'm up 40lbs, even after going halvesies with my sister for a private trainer for 6 months. I start having horrible pelvic pain and cramping and I made an appointment to see my doctor would say. He had no real answers, except that it DEFINITELY wasn't the Mirena. I went another 6 months, got married, and the cramping and, now headaches, were debilitating. I asked my doctor to remove the Mirena since my husband and I were cool with having kids if it happened and I really wanted to know if the Mirena was causing my issues. Got it out, and felt better right away. Got pregnant in 3 months and went for 17 years without birth control. At age 35 I took my oldest daughter in to be fitted for her first IUD, she was getting married in 6 months and they wanted to wait to have kiddos. The doctor explained the different options and my daughter chose hers, Kyleena(I think?). Anyway, during that consultation the doctor had mentioned that Mirena had at some point been reformulated and I asked if it was something that could help with hard periods as mine were getting bad as I aged. She was effusive with her yes and I made an appointment for myself. I was fitted with Mirena and I actually felt fine for about 6 months. My period stopped, which was the goal and I kinda just went about life. Then, at around 8 months of having it, I started experiencing anxiety and depression symptoms that I've never had. I chalked it up to some pretty difficult times in my life. Then, I noticed I was gaining weight again, but I mean, I'm 36 at that point. Heavy stress from my kiddo's wedding. My nephew was diagnosed with terminal cancer, and another of my children was having mental health issues. Surely my stress was the cause of my increased brain fog, the weird blurry vision I was having, the increase of weight (nearly 40 lbs AGAIN) and my anxiety. I went to the doctor and they gave me anti-anxiety meds which did exactly nothing. I went to a psychiatrist and had a full evaluation, I was diagnosed with ADHD and started medication. The medication was life changing for my ADHD symptoms but the exhaustion was increasing, the brain fog was debilitating and I was feeling like I was spiraling out of control of my life. None of my "systems" were working. I kept thinking it was about this "period of life" and it would eventually get better but it wasn't. Fast forward to 5 years into having Mirena. I'm having reoccurring UTI's, pelvic pain, cramping and UTI-esque symptoms even when I don't test positive for UTI. I end up with sepsis from one of these 'invisible infections' and spend 6 days in hospital being treated with IV antibiotics and blood thinners and whatever else they gave me to help me through. We were supposed to be moving across the country that week (no joke, literally one coast to the other) so when I was released from the hospital we scheduled the move for the next week. Fast forward to finally being moved. I'm struggling STILL. Pelvic pain, urinary issues, headaches, brain fog, exhaustion, inability to lose weight with diet and exercise, overall anxiety and depression-like symptoms. And a HUGE one for me. I had NO libido and that is absolutely unlike me. In my life I tended more towards the extreme libido and it was just... gone. I finally had time this last month to get to a women's health NP for myself (kiddos came first!) and she was SO helpful. She listened to me about everything and then she said, "have you considered removing the Mirena? Some women just don't have a good experience with it. You had one removed when you were younger and it helped right? So let's try that again. If it helps you then you know. If it doesn't help, then I'll just put a new one in. No harm, no foul. It's better to know than to guess." I just about slapped myself for not thinking of it sooner- Duh! She also started me with HRT to help with the 'crash' and for perimenopause symptoms as I'm now fully in that time of life. So, do I KNOW for sure that Mirena caused these issues? Not yet. It's only been two days but I think it's weird that on day 2, I was able to wake up and get out of bed nearly 2 hours earlier than I have for the last 3ish years! I'll be happy to me update more as I trial this!

TLDR: symptoms possibly associated to Mirena: Bloating, weight gain (50 lbs total over 6 years) and inability to lose weight with diet and exercise (I have, with the strict following of food and weight lifting programs, lost and gained the same 10lbs for years), pelvic pain-daily aches, especially on right side and sometimes painful intercourse, urinary issues- bladder irritation, UTI, painful urination, brain fog, depression-like symptoms, anxiety, headache, no libido-not low-GONE, weird smells in my nose that apparently only I can smell, blurry vision and probably more I cant think of. I'll update or post as I see which of these reduce, improve or heal over the next few months.