Lindsay, they have learned that the patch (Ortho Evra) has 60% more circulating estrogen than combined pills .... so probably a good idea to stay away from that. Glad you like your IUD <img src="i/expressions/face-icon-small-smile.gif" border="0"> Can you tell me how you chose the Mirena (which has progestin in it) over the Paragard (no hormones)??????? I love this photo of you.