i actually went on another chat forum and was lookign at the posts about tubal liagation and appaerntly its not much better then mirena...only this one costs over 3000.00 to get reversed as opposed as goignt o dr and gettign them to tak eit out...really bad peroids and severe cramping during that time..there is a list of about 48 side effects and none i want to have anythign to do with...prob just go woth the patch and be done with it....