Thanks for the replies.

I see my GP tomorrow, where she will ask my decision and at this time I'm just not willing to choose any option as I'm still anaemic and my younger twin is on the waitlist to have surgery to have his tonsils out. Plus I'm seeing a Plastic Surgeon early next month about having reconstructive surgery on my stomach to repair the damage the twins did, so the last thing I want to deal with are the possible side effects of the Mirena or Implanon if I choose either of these options.

As for the pill, well I'm currently over 100 days for this cycle - with only 2 separate days in this time with mild spotting for 1/2 day each- so to take something that will more than likely stop a non existent cycle anyway which would cost me money seems silly.

So will wait it out a bit longer and try and get all these other things sorted first and also have our 4 weeks family holiday in March and then might revisit it later in the year if needed.