I had such high hopes for the Mirena to help with my heavy periods but sadly I'm nearing the six month mark and there has been no improvement in the long term, if anything my periods are worse and I can't find any reason online as to why. I couldn't put up with the monthly flooding any longer and the NHS waiting list was at least 12 months, so I paid privately for the Mirena to be fitted. The insertion was uncomfortable but bearable (I haven't had children) and I didn't experience any discomfort immediately afterwards. The cramps during menstruation in the first two months following the fitting were intense, but the period was lighter so it still seemed like a win overall and I remained hopeful the cramps would ease as my body got used to the coil. That has happened and the cramps have eased to next to nothing now, but strangely my periods after the three month mark have been horrendous. I've been losing clots bigger than I have experienced before and I am back in incontinence pads to manage the amount of blood I lose. I can't continue to afford to access private care and I remain on the NHS waiting list, where I guess I will discuss ablation when I finally reach the top of the list. I so wish this had worked for me because it seemed an easy option and importantly it didn't end my fertility, but sadly it wasn't to be. I don't know why I'm surprised it didn't work for me, this is just my luck!! I wish it hadn't cost me hundreds of pounds to find this out, but for those it works for it seems life changing so it very much felt like an avenue worth exploring.