I had my mirena removed on September 29 because my testosterone levels were elevated. Also I would have inner thigh pain and my moods were a little wacky. I also randomly spotted out of nowhere and it was very random after a year and my doctor suggested removing it. Me and my BF are horrible with condoms. We use pull out with condoms occasionally. I have an appointment to get Nexplanon but I cannot gain anymore weight. I've heard weight gain is a side effect and I am not sure what's Good for me anymore. I am already 230 pounds and struggle with my weight. So now I'm torn..it's either I get mirena inserted again, or go for Nexplanon. What do you guys think? I am desperate. The clinic I go to said Nexplanon is the last thing for me to try or the copper IUD. I do not want the copper IUD! I cannot do heavier periods since mine are already heavy. With mirena I barely got any periods. I can't take any estrogen cause of blood clots and she said she doesn't suggest the mini pill since I'm terrible with pills. Thank you