The only possible negative to Mirena is that, like all hormone-based methods, it can cause a reduction in sex drive. I believe that the pill, which I took for many years, played a role in my own LD state.
I heard it can do the reverse as well. My W blamed the pill for her early low sex drive as well (and then our horrid R skills, partially arising from an inability to deal with low sex drive, perpetuated the problems beyond the pill usage). If Mirena affects my W's sex drive in a negative way, we will stop using it ... period. If I have to take a chance and go off my heart medication to get the vasectomy, we'll do that instead.
Chrome
"Recollect me darlin, raise me to your lips, two undernourished egos, four rotating hips"