Thx ladies. My GP said that they could only prescribe the 100mg oral tablets and Dr Rogers, who I'm seeing at Spire advised me that the 100mg was not really designed to be used vaginally. But I've seen lots of ladies who are doing so. MaryG I agree. Think that's why I'm so anxious about getting the mirena. Speaking with my GP yesterday, she advised giving it at least 6 months. Every change fills me with dread but I guess I've just got to try. CLKD I agree if I opted to pay for a hysterectomy then I'm sure it would be a goer. Dr Rodger did say though it's generally a last resort. Still to try Tibolone yet.........canny wait