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[Natatters]

I am almost at the point of having a partial hysterectomy because I can't seem to find the right balance of hrt. Started an early menopause at 45 when periods stopped abruptly. Coped with physical symptoms but felt life was so out of control I sought out hrt. Prescribed indivinia by GP which I continued to take for 3 years. When I realised I was starting to feel out of control again/anxious/just not myself saw a menopause specialist. She prescribed ustrogen (to be taken without a break), evorel 100 patches and androfeme. Within 4 weeks feeling so much better but having period type bleeds but v heavy and painful. Bleeding got more frequent to the point where I was bleeding every 7-10 days with v bad cramps. Tried taking the ustrogen vaginally. No change. Changed to provera. Made me feel so, so depressed I stopped taking it after 10 days. As a last resort now taking norethisterone. Bleeding stopped. Stomach cramps continued. Up until I changed the progesterone, whilst the stomach cramps were hard to deal with, I felt good. I am now feeling v different, more emotional and more aggressive/stroppy all the time. Not a good thing with teenagers in the house struggling with their hormones!  Had a scan and diagnosed with adenomyosis (odd as never had particularly painful periods before menopause) and three fibroids. They were going to put a mirena in when I had the hysteroscopy to take sample from fibroid (which is fine) but they were too big. Gynaecologist says I have three options. Carry on with what I am on (not an option for me as I am having v bad stomach cramps every 7 days or so), removal of fibroids and insertion of mirena (70-80 percent chance of this working to stop the bleeding and cramps) or a partial hysterectomy. I need to do something. I am feeling so rubbish and it is really impacting my family. Tempted to go with the hysterectomy as I could then stop taking the progesterone which I think is the problem. Or is it? Could it be the balance generally is not right? Has anyone else struggled in this way I wonder? And has anyone else opted for the hysterectomy? Seems like such a drastic thing to do but in some ways seems logical. Sorry if I have gone on, but a massive argument here with my teenage son where I can hear myself getting more and more cross with him, and over reacting has made me realise I need to do something fast! 

[shally0318]

Hi I have tried it all like you. Had a mirena fitted under general but it expelled itself in heavy bleed and clots. Had an endometrial ablation in June but had more heavy bleeds due to fibroids. Went to hospital on tuesday and have decided to go for a partial hysterectomy. I am sick of the bleeds and cramps. I am on femeston 1/10 contii but changing to a patch. Doc said have you tried coming off HRT because that can cause heavy bleeds, I told her I am mainly on Hrt to improve my moods and brain fog.
I would try the mirena first as i had one in for 5 years before it needed changing and it did work along with sandrena gel.

[Natatters]

Thanks shally0318. Part of me thinks I should try the coil but another part of me saying if I go for the hysterectomy then that is it. Done and dusted. It is all such a fine balance isn't it. ? I hope you op goes well.

[Sammiejane]

Natatters

Your story touched me as similar to me I had full hysterectomy at 35 yrs old and ovaries removed for sever pelvic pain and adenoymeosis (sorry can't spell it)
Originally they were just going to take my womb out which I wish they had of done and kept my ovaries but due to the pain they thought being caused by hormones they said would be better to take ovaries I went with it thinking they know best but wish I had got a second 3rd 4 th opinion.

The first 4 yrs after hysterectomy I thought I had escaped menopause as I had no Symtoms hence no HRT I did try a patch but made me have hot flushes 20 times worse. I managed and coped felt no different but then summer last year I developed dampness in knickers which they think is VA still having dampness even though VA no longer there it's well estronised that's my first complication and then second is trying to feel balanced on HRT because I only take estrogen hrt and certainly don't feel normal I have zero energy fatigued feel depressed then have aniexty feel irritable moody can't sleep and for me I feel I'm missing the balance with progesterone so it isn't easier with just estrogen only because I've been struggling to feel normal I've had issues with my bowel since hysterectomy constipation worse thankfully no prolapse and no on top since starting hrt I have hair loss so I sympathize with you but Mirena coil I've got friends on this and have suffered heavy bleeding and it has caused them not to bleed at all but takes about 3 months to settle you are now 45 so hysterectomy may be a good option but if you can keep your ovaries regardless of what they may say because you will suffer 10 times worse then natural menopause .

Let us know how it goes