Running out of options. Feeling defeated, help?

I’m struggling with what to do. I got Mirena put in a month ago after being on Nexplanon for 6 years. I love my Nexplanon but it caused consistent bleeding which then I was put on a couple of different pills. First was norethindrone which worked for a couple months then cryselle which worked wonderful for a year. I have recently started having aura migraines so can’t take a combo pill.
My Mirena has been hell so far. Anytime I workout, even a light workout, I have intense stabbing pain and cramping for the rest of the day. I got an ultrasound Friday to confirm placement and everything looks good. Yesterday I couldn’t even leave bed I was in so much pain, even considered going to the er. Today I started spotting for the first time since I got it and have some cramping. I’m just struggling with if I get it out or not.
My doctor said if this doesn’t work I can go on Slynd but I’m worried it’ll cause the same bleeding Nexplanon did. I am running out of options and just feel defeated at this point. I still have my Nexplanon in and have an appointment in 4 weeks to get it out but I don't know if I would rather just get the Mirena out. Again running out of options…

Running out of options. Feeling defeated, help?
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