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I am currently using the Mirena IUD.  I love, love, LOVE it!!  Everyone is different and have different side effects, etc.  But I have nothing but positive things to say about it.  I couldn't go on the pill because of boderline hypertension that developed after having my 2nd daughter, so this was the next option.  It is a hormone IUD, not like the Paraguard which is copper, but the hormones in it do not effect my blood pressure.  The only irritating side effect I had was the continual spotting for the first 4 months (yes it last that long and longer for some!).  After that time though, it's been awesome!