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[honorsmum]

Thanks DG and Honeybun.
I had read other posts here that said it was only licensed for oral use, but hadn't really thought about e implications of that, re GPs.

I'm sure I must sound pathetic and I apologise.
The whole issue of perimenopause has got to me the last few days. I'm pretty sure hormones are making me feel more sensitive than I need to - period arrived today, 20 days after the last one, and I have had a week of PMS. I just feel like I'm in a long tunnel, not able to think of much else but how I feel and what to do about it.

[Hurdity]

Hi there - re utrogestan - most gynae specialists should know about vaginal use of utrogestan as this method is widely known and used (and licensed on NHS) in this way for fertility, as well as on the continent for HRT. Once your specialist has prescribed it this way anyway the GP should just accept the prescription, since many gynaes (and GPs in the know) prescribe stuff off licence - because they've read more about it. eg cutting Evorel conti in half, or using Cyclogest as HRT progesterone.

I have never visited a private gynae nor meno clinic but my GP knows I use it vaginally and have discussed with her, and my knowledge of this use, and she just puts on the prescription "Use as directed". I can't see any problem with this nor keeping it secret! However as honeybun says if you preferred you can just go ahead and use it in this way! Really - don't worry about the GP! I mean they're not going to refuse to prescribe it are they, if that's what you'd prefer?

I can see the advantage of trying this first - ie don't have to go for a fitting - but I think you may end up with heavier bleeds if you use it cyclically on 11/12 days per month, as you are very early on the menopause journey - but then again you may not!

Hurdity x

[Briony]

Hi Honorsmum and Briony,
I too am terrified of the mirena coil, it has been suggested over the years for me and I do know people who are happy with it,,,but its the thought of the insertion for me.I have no children and believe it to be very clampy and painful whilst going in.
I have just started recently on HRT at 48 and prob in early perimenopause.,,,but terrible fatigue and flushes. I am using oestrogel and ultrogeston and for this my second month taking ultogeston vaginally to try and minimise side effects.

That's my fear too - not having had children apparently makes it more of an ordeal.

I had no issues at all with Utrogestan used vaginally. In fact, I would have used it every day if I could. However, overall, I needed more support to control my hormones so I have now switched to Qlaira, which is designed specifically as a more HRT style COP. So far, I am feeling miles better psychologically, though a few minor physical side effects - normal for month one (I hope!) x

[Dancinggirl]

honorsmum
I think your real dilemma is the fact you are in limbo over your GP - or have you been able to switch now?
I actually wrote to my private gynae for further advice after my visit -  so can I suggest you write to Annie, explaining your concerns about the Mirena (all the horror stories you've heard etc.) and ask if you could try Utrogestan instead as you understand it can be used vaginally.  Hopefully she will change her prescription and ask you new GP to prescribe Utrogestan instead. DG x

[CLKD]

You are NOT pathetic and no need to apologise  - asking, sharing, deciding which advice to consider - takes time and a lot of brain power 

Are you eating regularly as PMT symptoms can be eased ……… maybe go the 'non' invasive route first and keep the Mirena coil in the background ………. as Dancinggirl suggested.  Let us know how you get on!

[honorsmum]

Thanks for your patience, ladies.

Hurdity - would potential heavier bleeding be influenced in any way by my current bleeds (which are light)? My cycles are all over the place, anywhere between 28 and 20 days - how would the uterogestan work with this?

DG - I have the forms to register with a new surgery. Not sure how long the actual move over will take, once they have been handed in?
Annie Evans said not to mention that the Mirena was for HRT, but to say it was simply for contraception. She was definite that oral uterogestan was a no for me, but only said that some women use it vaginally. I think she felt that the Mirena would kill 2 birds with one stone - HRT and contraception.