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[sheila99]

I also have a long natural cycle. I wasn't able to find a doctor who could tell me what to do so I have stuck to the same cycle length anyway - I reasoned it hadn't done me any harm in 40 years so probably wouldn't now. I am in peri and have found it much better, the 28 day cycle resulted in bleeding at any time of the month.

[CLKD]

Have a  ......

[Ladybt28]

I have had 2 mirenas fitted and taken out and had no problems with either bit but then I am ok with smears and all that sort thing.  Took less than a minute and didn't feel a thing.  Why you ask did I have them put in and take out I hear you ask?    One was done years ago for birth control but I discovered I had problems with progesterone and it made me feel ill - and that was about 16 years ago.  The second time was for meno and it was put in in Feb 18 but 2 weeks after it was put I got sepsis and the A&E people immediate thought was that it had been caused by the insertion of the merina, so they took it out immediately when I was in resus but turns out when they tested it wasn't the source of the infection just a coincidence.  I have never had it put back.
Personally, I don't do very well with continuous progesterone either orally or vaginally (which is why I am using Utrogestan on a long cycle vaginally) can't do it continuous, it messes with my head.  My long cycle seems to suit and is working well.  It really is what suits you shropshirelass.  We all know how things are "supposed to be" but if it doesn't work for you or suit your body well what use is the "theory"?

Insertion of merina really depends on how good your doctor is - mine is brilliant at that sort of thing but if you get a useless cack-handed one then I'm sure it could be a bit unpleasant.

[shrosphirelass]

Thank you both. Interesting to hear about the mirena, definately something I'll consider if they make me go on to a continuous cycle. A specialist dr does them at my surgery. My GP assures me she is excellent and that's why they use her for this.

Re longer cycle. I decided to try taking an extra week of evorel 50 this cycle,  so 3 weeks of that and 2 weeks of conti, really to avoid having to have the progesterone. This  is closer to my natural cycle. Is that the sort of pattern you both do, ladybt28 and Sheila99?

[sheila99]

Yes. That's what I would do in your situation. My natural cycle is a bit variable,  around 6 weeks but can be anything from 5 to 7. I'm on gel and utro. I get tired on utro so tend to go for a 6 to 7 week cycle unless my body tells me it's producing prog (sore boobs) in which case I start on utro then. I'm intending to use a long cycle in meno but not there yet. Am also considering mirena when in meno but given I don't do well on utro I'm a bit concerned about having something I can't remove myself.

[shrosphirelass]

Thanks Sheila99. Does your GP agree to your regime? I was just wondering how to broach it as I'll obviously run out of evorel 50 and have surplus conti. I'm not sure how close I am to menopause as I was still having periods last year, but at 57 must be getting close. I know some people carry on sequential but I'm not sure if they will let me do this long term, or whether it's advisable.

[sheila99]

She couldn't advise so I haven't told her. I'm fortunate to be on gel so I can do as I please. I only got gel because she was off when I got a rash with patches and saw a completely clueless one who just prescribed what I asked for.  I think the problem is they've all been tested on women with normal cycles so the drug companies all say 4 weeks as no other cycle length has been tested. But it seems logical to fit the hrt to the person not the other way round. I think the only thing you can do is explain and hope she understands (or become allergic so need gel...).

[shrosphirelass]

Thanks. My GP is actually quite good, but not sure how he would take to doing something off piste so to speak. He referred me to a menopause specialist originally last year and I have a follow up appointment in Septemebr so hopefully it will be ok to discuss it there. In the meantime I've got 6 months supply and have a repeat prescription that I guess I could send it early. The evorel 50 seems to suit me so I'm reluctant to go on to the gel, but that is an option that I'm sure the GP would agree to. It's all so trial and error!