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[Sphere27]

Hi
A question on behalf of a friend. She has had coil in for 7 years. GP gave her oestrogen only hrt. She is 52 and wondered would the coil still be releasing enough progesterone after 7 years?
Thanks ladies x

[Dr. Heather Currie]

Mirena will still be OK at this stage for contraception but it can only be used for the progestogen part of HRT for 5 years, it can not be relied on after that to provide enough progestogen to protect the womb lining from being stimulated by the estrogen. Therefore, either the Mirena should be changed for a new Mirena and continue estrogen only HRT, or the HRT should contain both estrogen and progestogen.
I hope this is helpful
This is an important point. Would anyone mind if we include a version of this in the next issue of Menopause Matters magazine?
Best wishes
Heather

[Taz2]

It sounds a good idea to me.

Taz x

[Pollie]

Mirena is only licenced for use for 4 years as an oestrogen opposer during HRT use. Please don't get this bit wrong if you are giving advice in a magazine....

In fact sphere27 I would suggest that your friend goes back to her GP practice and ask them to raise an incident report. Prescribing Unopposed oestrogen is a very serious matter as it increases the risk of endometrial cancer. Whilst it may seem trivial  - if your friend was  given repeat prescriptions  for 10 years it could be a very different matter. It happens. Women have got  endometrial cancer in the past because GPs have done this.

Negligence springs to mind.

Pollie

[Dr. Heather Currie]

While it is licensed for 4 years for this purpose, it is recommended that it can be used for 5 years.
It is incorrect to rely on it for more than 5 years for the progestogen part of HRT.
Best wishes
Heather

[Sphere27]

Thank you very much .
Will pass this onto my friend.

[Sphere27]

Yes should be brought up in magazine if this is happening. Was only when she mentioned it
To me I thought didn't sound right. She had no idea.
X