So you can use Mirena if you have had a blood clot? I had one and my doctor told me I was stuck now with either the mini-pill (which I don't do well with) or a copper IUD (side effects of heavier period are unappealing). I'll have to ask about it next time I'm in because right now, I am leaning toward Essure, just to be done with it for good. I know Essure is covered by my insurance (just pay my copay), and Mirena is not, for some reason. Essure is permanent, though, and while I'm 99% sure we are done, there's this little bit of me that doesn't want to do something so drastic yet.