Print

Please login or register.
1 Hour 1 Day 1 Week 1 Month Forever
Login with username, password and session length

[Missylou]

Hi Clovie

My understanding is that progesterone would be better tolerated internally (via Mirena) but I’m certainly no expert.

I have been put off getting the Mirena because of the inserting as I find smears so awful. However, I’ve just had one and thought ‘however bad it is, it is over with very quickly’ It may be the best option for you especially if you can be sedated. The worst that could happen is that if you don’t get on with it, you could get it removed. I think it’s worth weighing up as potentially you may have a lot to gain if it stops the bleeding for you. It doesn’t suit everyone, just like every other method of HRT, so it is just a case of trial and error. However I do understand having the Mirena isn’t as simple as trying out a new patch, gel or tablet.

[KatyB]

I find I bleed continually when I go to conti, so I've stayed on sequential regime and i never bleed....now 59. My specialist said it was fine to stay on sequential if it suited me better.

[Missylou]

My doctor advised against going back to sequential as I was post menopause. Said something about not bringing on a bleed when you don’t naturally bleed. I’m not saying she’s right but it just goes to show how much conflicting advice GPs give when it comes to the menopause.

I’m going to start using Utrogestan 200 every other night vaginally to see if that helps stop bleeding, starting from tonight.

[zen]

Hi Missylou

I have the same problem as you.  I am on Evorel 100 and lutigest(progesterone) and I get quite a lot of bleeds which have been investigated.  I get very low before and during the bleeds.  I can't help feeling although I am 60 now that my hormones are still totally out of whack. (I became menopausal at 47).  I am thinking of coming off HRT as I think I am pretty progesterone intolerant too.  Interesting what Mollymoo said.  Also you aren't also on thyroxine as I am and I think there is an interaction between HRT and thyroxine.  With me I think this complicates everything.  I guess it is a case of weighing up the pros and cons.  I hope you find a solution. X

[Teresa]

Just to add - what a helpful and positive reply about the Mirena Teresa! This should give encouragement to other women thinking about it - great to hear good news stories (cervix aside!).

Hurdity x

Thanks Hurdity and yes, I hope it does give hope. The mirena coil does get a lot of bad press and I know it doesn’t suit everyone. It’s not totally without discomfort, I must admit and it can take a few days after to ‘settle’ but when all other things fail, it is definitely worth a try.

X
X

[Teresa]

Hi Missylou

I'm 59 and have been put on continuous HRT due to me having regular bleeds of my own (periods have never stopped, for me) and the withdrawal bleeds of sequential making me severely anaemic.     I'm been put on 100mg Utrogestan daily and oestrogel.

I had a scan because the doctors did not beleive I could still be menstruating. And all is well. The sonographer said my womb was that of a still menstruating woman (size and condition) but no abnormalities and lining was perfectly thin.

Well 5 months on, my regular bleeds have continued despite the constant daily input of gel and utro.  Every 23 to 26 days sometimes for 6 days at a time, a couple for about 12 daYS.
The doctors  had thought that my 'periods' were being caused by ups and downs of 200mf utro and oestrogel sequentially, but no. No change.
They apparently ARE my periods.

I'm worried about anaemia again, so wondering if I might actually consider Mirena after a good few more months if nothing changes.

I've always been STRONGLY against Mirena, particularly as I am very progesterone intolerant of synthetic progesterone, which Mirena is  - and also because of the fitting/removal. My consultant did say he could sedate me or similar if I wanted to try. I have health anxiety in general, made worse since peri...

This bleeding is getting me down.
Plus I feel like a freak (been made to feel like a freak by the medics)  I can't shake off their going on about something must be wrong 

Just thought I'd emathise as I too bleed a lot on continuuous 

Hi Clovie,

I’m sorry to read what you’ve been through and your fears of having a mirena coil. They get a lot of bad press, but I think a lot of that isn’t fair. Many, many women do get by very well with it, me included. It is all down to the skill though, if the person who is putting it in. I’m very sensitive to many medications and although I tolerated utrogestan 100 mg orally, I could not tolerate 200 orally, which was what I had to try to stop the bleeding.

I am highly anxious ( also suffer from Heath anxiety) so I do understand exactly how you feel. I can’t lie, it’s not without some discomfort, but the procedure is very quick and there is some cramping afterwards which can be very much relieved with pain killers. I’d always have someone very experienced now, such as a gynaecologist putting it in and removing it, even if I had to go private ( which is what I had to do for the one I have now).

Yes the coil has a synthetic progesterone, but as you aren’t consuming it orally it’s not being bypassed by the liver, which does make a difference.

I used to have heavy bleeds when I had periods and the mirena stopped that completely. I’m on my third mirena.

Teresa
X

[Clovie]

Hi Missylou

I'm 59 and have been put on continuous HRT due to me having regular bleeds of my own (periods have never stopped, for me) and the withdrawal bleeds of sequential making me severely anaemic.     I'm been put on 100mg Utrogestan daily and oestrogel.

I had a scan because the doctors did not beleive I could still be menstruating. And all is well. The sonographer said my womb was that of a still menstruating woman (size and condition) but no abnormalities and lining was perfectly thin.

Well 5 months on, my regular bleeds have continued despite the constant daily input of gel and utro.  Every 23 to 26 days sometimes for 6 days at a time, a couple for about 12 daYS.
The doctors  had thought that my 'periods' were being caused by ups and downs of 200mf utro and oestrogel sequentially, but no. No change.
They apparently ARE my periods.

I'm worried about anaemia again, so wondering if I might actually consider Mirena after a good few more months if nothing changes.

I've always been STRONGLY against Mirena, particularly as I am very progesterone intolerant of synthetic progesterone, which Mirena is  - and also because of the fitting/removal. My consultant did say he could sedate me or similar if I wanted to try. I have health anxiety in general, made worse since peri...

This bleeding is getting me down.
Plus I feel like a freak (been made to feel like a freak by the medics)  I can't shake off their going on about something must be wrong 

Just thought I'd emathise as I too bleed a lot on continuuous 

Hi Clovie,

I’m sorry to read what you’ve been through and your fears of having a mirena coil. They get a lot of bad press, but I think a lot of that isn’t fair. Many, many women do get by very well with it, me included. It is all down to the skill though, if the person who is putting it in. I’m very sensitive to many medications and although I tolerated utrogestan 100 mg orally, I could not tolerate 200 orally, which was what I had to try to stop the bleeding.

I am highly anxious ( also suffer from Heath anxiety) so I do understand exactly how you feel. I can’t lie, it’s not without some discomfort, but the procedure is very quick and there is some cramping afterwards which can be very much relieved with pain killers. I’d always have someone very experienced now, such as a gynaecologist putting it in and removing it, even if I had to go private ( which is what I had to do for the one I have now).

Yes the coil has a synthetic progesterone, but as you aren’t consuming it orally it’s not being bypassed by the liver, which does make a difference.

I used to have heavy bleeds when I had periods and the mirena stopped that completely. I’m on my third mirena.

Teresa
X

Hi Teresa, thank you for replying to my concerns, I seem to be always moaning on here these days, I'm not 'that person' normally. It's all this over the last 6 months that has got me down. But hey-ho...

I was told by my gynae, who was trying is damndest to push the Mirena, that i could be sedated for insertion, such is my anxiety.
I'm worried if it DOES affect me badly, as I'm progesterone inolerant, that I won't be able to rip it out myself (LOL) much as you can stop a tablet straightway.

I see your logic about it being a small does delivered directly where it is needed though...

More thought on my behalf required I think.

Thanks again! 

[Missylou]

Hi Clovie

Perhaps you can find out how long the wait would be to remove it if you didn’t get on with it. I phoned my GP today to ask what the wait list is for a fitting and it’s 10 weeks!!! I can’t imagine for one minute it would take that long to remove but it’s worth checking for reassurance.

I’m going to phone a central family planning centre to see if the wait is less. 10 weeks is a long time for me to procrastinate.

I tried the Utrogestan 200 vaginally last night (I had planned to take this every other night along with Everol Conti patch to see if it stops bleeding) and I had a dreadful and fitful night’s sleep, like I had when I took the Utrogestan 100 orally. I found this odd as when I took it vaginally with an estrogen gel on a sequential routine, I had a very deep sleep (although some odd dreams!) It does seem the Mirena could be (hopefully) the answer to it all.