Hello, Sorry you have been suffering from this mirena. Have you had your thyroid tested lately? When I read through your symptoms it reminded me of a thyroid disorder. I also suffered from Arthritis in my hands and joints and many other awful side effects from mirena. I would definitely get it taken out. I think your body is trying to tell you that its time to get it out. I personally only left mine in for 10 days cause of pain and side effects. You doctor will probably deny that your symptoms are from mirena but many of suffered like you are now suffering. Good luck on your decision.