Ok I am new at the ob/gyn thing. My Dr. has this patient that really can't take any BC. He now inserted the Mirena in her. Let me also say she take Paxil and suffers from anxiety. Poor thing I feel bad for her because she needs the progesterone, her body doesn't produce enough. She claims to have foggy thinking and very tired. Any veteran ob/gyn nurses have any input on this situation? From what I read the Mirena shouldn't be absorbed systemicly only in the uterus. I don't want to of course say that the Dr. I work for doesn't know what he is doing but I took a liking to this patient and I guess I would like to know for myself. Thanks all Cristina