I have a Mirena and have had it in for 3 years. I am happy with it and it's been a 'set and forget' thing for me, but I know of women whose experiences have not been as trouble free as my own. I also don't get any bleeding with the Mirena, although my 'cycle' as such has not completely gone. I would discuss it with your ob, as it can be a good option, but you might want to weigh up the risks and benefits with them.
One difference to consider is that the TL can be done at delivery - mirena will have to wait for something like 3 months before it can be fitted as a post pregnant uterus is too soft.
Just another factor I thought you should know when you consider your options.
I just had mine removed a week ago via a D&C because it had moved and was pressing against the uterine wall and there was a small amount of scar tissue formed around it. I would never recommend one to anyone based on my own experience, but there are loads out there that is has worked perfectly for. Personally, if you know that you are 100% sure you are done having babies, then I would go with the tubal ligation. Possibly not while you are having a c/s done if for no other reason than to give you time to think about it. We decided to go with a vasectomy because of the recovery time being shorter for DH than it would be for me to have a TL done (the mirena was for endometriosis, not pregnancy prevention) and he had both tubes cut, and then tied back onthemselves so there is no risk of it failing, so maybe your DH would consider having it again?
We are very sure about not having anymore babies, but I am a little concerned by the thread on BB about TLS......but in having a c/s, it's a very easy procedure to do the TL, which is why I am considering it in the first place.
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