I am so glad that I came across this website. Like many of you my Dr. has said that the IDU is localized and therefore it shouldn't be the cause of my fatigue and acne. After discussing this with him I thought that maybe my body is just still adjusting because I haven't had any tpye of bc for 10 years. Well, it has been 6 months and I feel terrible. I just decided to see what I could find on the Internet and the medical articles I have read really don't address these issues so I am thankful for all of your input. I actually just set up an appointment to have it removed later this week. I am thinking of trying the pill again but the issue is that I can't tollerate oral bc very well, it makes me sick. Do any of you have the same issue and what brand do you suggest? Thanks