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Expulsion is fairly common actually. Hopefully your doctor mentioned that possibility with you at the time of insertion. This probably explains the issues you were having, it was probably working it's way out of your uterus.
3 different types of Natural Family Planning are taught in Alberta. Depending on where you are, there might be classes. Effectiveness is over 96%, depending on which type of NFP it is...but without any risks.
I am thinking about having my Mirena removed. I can't take anything else b/c of migraines. I think I'm going to use NFP until we decide to TTC. Last year my OB/GYN told me my only other option was the coils but I didn't want anything permanent.