Kyleena IUD and period like cramps

I've tried all the pills out there for BC, but my last resort was the hormonal IUD to stop me hemorrhaging every month. For the last 9 months, I've had 4 UTIs and constant pelvic pain. I've seen a urologist twice, and the hypothesis is that the IUD is drying out not only my skin but my vaginal tissues as well. I wish I could get it out to remove myself this constant UTI type pain, but I haven't bled a lot in the last couple of months. It's a very bad negative for a semi positive.

Better than copper IUD. Similar in side effects to birth control ring except less effect on sex drive.

I'm almost 28 years old, have had periods for the last decade and a half. They have always been regular and heavy to the point that if I didn't take iron supplements 5x a week and tranexamic acid during my periods, I'd have anemia. So I got Kyleena in December 2024. Insertion was fine, some cramping but nothing too serious. I had cramping on and off during the times my periods were supposed to come and some spotting/bleeding, but it was usually what I saw towards the beginning of my cycle. I had one reduced-level period in mid-August. I have had to go from 36D to 36DD to 36DDD/38DD bras over the span of a few months. At first I thought it was just weight gain (went from 170 to 195lb), but I have been almost 200lb before and my breast size increased this much this quickly. Even after losing 10 pounds my breast size has shown little to no decrease. I hate it. I also suspect that the IUD influenced my sciatica in my lumbar spine, which began in February 2025 and has taken several weeks of PT and a round of oral steroids to resolve. I am still not up to 100% all these months later. Overall a 2/5. The decreased period length, flow, and frequency is almost not enough to justify having this torture device in. If I get pregnant w/this in, I'll be so angry.