Yes that’s me Crispy. I’ve had mirena since April 2024 and added Slynd in December to stop the fluctuations which the mirena wasn’t helping. So sorry to read things are still hell for you… I’m probably not the best person to ask re mirena as personally wish I’d never had it because I just bled/spotted on it pretty much for 6 months til I added Slynd. I still spot and cramp now but as per my message to Vicki I’m pretty sure it’s the Estrogen. I tried to up to 3 pumps gel a month ago as assumed I had low e symptoms and had such a heavy bleed and pms from hell, hated everyone and everything, bloating, leg muscle pain, acne, severe fatigue so think I’m just someone who doesn’t need much Estrogen. I see you’ve tried doubling the desogestrel and felt worse and I know you’ve tried Slynd and chemical m. Have you ever tried natural p… cyclogest or cream? Clutching at straws but there’s def been a marked difference in me… having far far more positive mood days, much better energy levels and my hair isn’t falling out as much 🤞🏼. Don’t get me wrong, I still don’t feel like my old self but I am much much better than I was, even my husband has commented. x