Hi,
I'm 53 and as far as I know, perimenopausal. Started on HRT about 3 years ago. Saw new gynaecologist for heavy periods as was hoping they might just adjust the HRT.
He wants to do hysteroscopy, biopsy and Mirena insert.
This feels a bit rushed to me. But I'd appreciate some other opinions because I don't know too much about things.
I haven't actually ever STOPPED my periods, only had erratic ones, and went onto HRT for wider symptoms. They've always been fairly regular but increasingly heavy/clotty. I didn't think TOO heavy and don't really have any intermittent bleeding regularly, although I did sometimes have very weird lengths of cycle when not on hrt.
I have really waterfall like periods in the first couple of days, like 6-8 really full mooncups a day, then very little after that. I guess typically about 200mls loss with smallish clots (like cherry size)
I had an ultrasound some years back which found small fibroids.
The gynae appt just felt really rushed and designed to push me down this particular pathway. I said I wondered if there was a less invasive place to start, like maybe adjusting the HRT, or testing my hormones.
I also said that I wasn't keen on the Mirena as I also have chronic bladder problems and I've known some have a problem with this. The gynaecologist just kind of scoffed and said thats just menopause. He really wasnt interested in hearing me explain I'd had these issues since I was 17...
Of course he mentioned checking for uterine cancer and of course I'm not wishing to avoid investigating that. But is there not a more humane investigative way of exploring first.
I'm afraid to say I really don't trust (male) gynaecologists, where everything looks like it can be fixed by their surgical intervention. This may be outdated and naive these days.
But given this was in a private clinic, clearly brought in by NHS to clear a backlog (even though he's also an NHS gynae) I wondered about the economics of this also.
And then I thought I can't be the first woman in this forum to ask these questions?! Does anyone have any experience or advice to offer? Thanks x