jessieblue
I believe you need some systemic oestrogen alongside your Mirena.
If you are now into post meno then your symptoms will all be down to oestrogen deficiency and by simply adding oestrogen as pills, patch or gel you may find many of the health problems will improve. Anxiety, low mood, vaginal dryness, UTI type symptoms, poor sleep and energy, palpitations, aches and pains are all typical meno symptoms.
I would ask for some oestrogen to try - the Mirena will control any possible problems with bleeding but this should be changed every 4 years as part of HRT treatment - the doctors should have known this !!!!!
Drink plenty of water, avoid caffein and fruit juices and put yrou feet up fro half an hour each afternoon if possible. Your symptoms are typically meno - we are here to help. DG x