I got my Mirena in Feb 2009 and my sex life with my husband has not quite been the same since then. I read about the side effects of it and decreased libido was one of them. So after many arguments about not being in the mood and seeing Kim take out her IUD on "Don't be Tardy", I decided to google it and came up on this website....THANK THE LORD!!! I also don't have insurance and trying to get in the clinic was about 2 to 3 months wait and I was pretty much fed up. So I read a lot of the posts and comments and decided to go give it a try. The strings are rather slippery so you have to get a GOOD grip. I couldn't get it on the first try, but the second try I held the string in place with my nail and out it came. My first reaction was "oh no, now what." Then I just laughed, uncontrollably. To think this little piece of plastic has been causing me so many issues and all I had to do was reach up there and pull it out. Now I do feel slight cramping which is something I read and expected. I also feel tingly and kind of a rush. It's hard to explain, I don't know if it's the hormones that are no longer being released or what, but that's all I feel for now. If I feel any different or have any new discoveries, I will update.