Hello, I REALLY want to get mirena out! I've had it for 4-5 months now and it has caused more problems than any other method I've been on. I have had acne, and been unable to lose weight. Sooo sick of it.... Anyways. How soon should I start taking birth control pills before I have mirena removed? I want to be protected right after mirena is out, but will it be bad to be using both methods? Should I just wait to have sex or use condoms? Please let me know, I want this out of me before the end of this week!