Yes its true!!! I just pulled mine out=)) I struggled though tried laying down, standing up, but I think its best toilet position just relax get ahold of the strings and GENTLY pull it out. I thought I wasn't pulling mine out but I was!!! my strings were just super long lol I did get scared because u actually feel ur uterus cramping but it came right out with small amount of blood. I'm so happy I was tired of always feeling bloated and getting pregnant scares this mirena gave me weired hormones I even have breast milk leaks I was so scared to be pregnant but I wasn't obgy confiremed it they said it was due to the mirena how crazy!!! Thank God I read these comments I save me $100 and a trip to planned parenthood now back to condoms!!! Good luck ladies if ur tired of all the symptoms trust me you'll get it out like I did lol oh yea a helpful tip "just push as if giving birth once u get ahold of the strings!! Hope this helps!!!