I have had mine for almost 5 years. Will have it removed in april and plan to get another one. I have no kids and have had very few problems on the marena. I was on the pill for almost 19 years because of Polycyctic ovaries and just plane got sick of it. I am very happy. And i don't have a period either because of it. i do get pms though. Unfortuantly that part does not go away and I get some cramping too. But it is all easy to deal with it. I love it.