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Mirena or Paragard vs. the Pill

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Hello everyone!

I am 23-years-old and I have suffered from acne since the age of 16. I went on birth control about 3 years ago and now that I think about it, I think my skin has actually gotten worse in those 3 years. The birth control also makes me a little emotional and decreases my sex drive and I have gained weight. I don't like any of these side effects but I've tolerated them. I am now taking an anti-migraine drug that makes my birth control ineffective and I am thinking of getting an IUD. I am a little concerned though that switching from my current BCP, Lutera, to Mirena, might make my skin worse. Mirena has twice as much progesterone as the pill I am currently taking, but no estrogen. Has anyone actually seen their acne get better with mirena?

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