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?
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