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Well, I buckled down and got the Mirena... these cramps are absolutely horrid, but supposedly won't last more than a couple days. In the mean time, I have to sit back and cross my fingers that the weight gain and skin issues many people report don't happen to me... Sometimes I really, really hate having PCOS.
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I got my first Mirena 5 months ago, and the cramps didn't last terribly long for me. While the first few days truly sucked, they progressively improved over about 2 weeks (please note that I am an absolute gynecological baby). Haven't noticed it since. It has, however, seemingly caused regular cycles to resume, which I'm hating. I miss my 1-2 super-light cycles per year...