Hi Herdity,thank you for ur reply. I am in the uk and started sandrena 14 days ago,I was on femoston 2/10 at the time and was feeling rubbish,but I was only 4 days into the prog/estrogen tablets,the pharmacist said I could start the sandrena straight away,as long as I took 10 days of the utovlan. I thought I had cracked it for 7 days, my energy was back,and I was starting to want to do housework etc.but then I had 4 really bad days,I don't know how I got through work,I felt so weak and lifeless,and irritable again.ive now had 3days estrogen only and feel a little better,am waiting for the bleed. The doctor started me on 0.5 mg,and after my post that I thought it was too low,u agreed with me and I doubled it,but felt so much better. I was just concerned about not being able to find utovlan,or its dosage for use in hrt. I did ring the drs on Thursday,as I did discuss having the mirena fitted,but she said to see how I got on for a month,then go see her and if I still wanted mirena,she would put me on the waiting list,but there r no appointments available,so I have asked them to ask her if she can put me on the waiting list without seeing me,but she only works Monday and Tuesday,wasn't put on for heavy bleeding