Hi Lesley2222
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
from me too.
Have any of your investigations ascertained what has happened to the fibroids? They usually shrink in post-menopause in the absence of oestrogen although since you developed a polyp in post-menopause maybe the fibroids are also still there.
I read in the link you gave that sometimes endometrial hyperplasia is present in the polyp? Was this the case for yours - but I presume as you say the results were all clear then everything was OK then?
I would ask what thickness your womb lining is now - from your recent scan - in fact the consultant should have been able to give you this information from the TVS. Did the consultant also perform a hysteroscopy? If not I would ask if s/he noticed any irregularities.
I see from the advice that the Mirena is recommended if you have endomatrial hyperplasia (without atypia - ie the cells haven't undergone possibly pre-cancerous changes) - but I would wait for the consultant to confirm this. If you are opposed to a Mirena then progestogens can be given orally - such as norethisterone or medroxyprogesterone. I see that the treatment is given for 6-12 months (only had a quick look at the info) to see if the hyperplasia has regressed and if not a hysterectomy is performed.
I presume the bleeding is either from a thickened lining and leading to hyperplasia, or from fibroids or polyps but at your age you should have very little oestrogen, unless you are very overweight (hope you don't mind my asking)?
Normally with progestogens given continuously in the absence of oestrogen, the endometrium can atrophy and this can cause ulceration and then more light bleeding or spotting. If there is an oestrogen source in your body and your endometrium is thickening anyway then it may be OK to have a Mirena - but this could be in for 5 years. I think in your position I would go for the oral progestogens, the only disadvantage being if you are intolerant of them - there may be more side effects than the Mirena which delivers most of the progestogen locally. I presume as per the guidelines you will have regular checks anyway.
A bit of a ramble again - just giving my thoughts out loud - sorry i don't really know enough about it but the link was very helpful
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Hurdity x
PS CLKD - you answered Lesley's post after a very short time - only 2 hours so not sure why you would be surprised. if it was a day - then I would be - but even then some posts get missed!! We all have busy lives and don't all have the time and inclination to spend half our day on the forum reading and answering almost every post! I only answer a few as - if I am on here for an hour - I might only answer 4 posts - some of them take 20-30 minutes to read, look up stuff and then reply!!!! It's also the summer and gardens beckon....
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)