my child is almost 4 months old this is my third child i am experiencing major anxiety, moodswings mostly anger, and slight depression, and lack of interest in sex which ive never lost interest in before i dont know if this is postpartum depression or from my mirena which i had inserted june 22 and have bleed ever since and recently started experiencing pain during sex, i had it checked and was tested for infections, other than a major uti i was fine, i also have polycystic ovaries i am scared to take my citalopram cuz im breastfeeding. i dont know if i should get the mirena out, but i am miserable i had a bad reaction to birth control pills and am allergic to latex, plus im in a very long term commited relationship and we both dont want to use latex free condoms but i dont want to have another baby anytime soon, maybe never but im not positive so i dont want to get my tubes tied. what do u think it is, what should i do?