First of all, let me give you a low-down on my history. I had my tubes tied when I was 25 (childfree, did not want). I've had severe cramping all my life, been on several different prescriptions over the years (since menstration), and was put on Depo (I smoke) and have been on it for approximately 6 years and have been advised by my physician recently, that because of my age (42) and the longevity of being on Depo, that he wants to do something else. He wanted to give me a hysterectomy, but because insurance will not cover, I can not afford, so I have been given 2 other options, Implanon or Mirena IUD (but will still have to pay out-of-pocket, but less expensive). I read on the Implanon site that you should not smoke, so apparently it is down to 1 option, Mirena! But from what I've been reading, women are having problems (but most already have kids). I am wondering if there is someone out there that can help me make a decision on what I should do.