Hi Lors-1972
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
from me too!
How did the doctor diagnose you as peri-menopausal and have you had blood tests to rule out any other cause for your symptoms? I presume your periods have become irregular (?) - although some unfortunate women begin to get flushes etc even while having regular periods!
Not sure why the doc would prescribe the Mirena coil unless you are having very heavy blood loss/periods - it doesn't eliminate menopausal symptoms although a small amount of the progestogen does enter the bloodstream so possibly could prevent some of the symptoms due to progesterone withdrawal at the end of the cycle?
If your oestrogen levels are dropping then adding extra oestrogen (HRT) may well help although it is often difficult to get the balance right while periods are still regular because sometimes oestrogen levels surge at this time. If you added oestrogen ( eg in the form of patch or gel) then the Mirena coil would help keep the womb lining thin and limit bleeding as well as providing contraception. Later on oestrogen will definitely help and if you are likely to have an early menopause (periods stop before 45) or even before the natural average age of menopause of 51/52, then taking oestrogen is advisable anyway to help protect your heart and bones amongst other things.
There is an excellent article about peri-menopause on this site here which I recommend:
http://www.menopausematters.co.uk/article-perils-of-the-perimenopause.phpMenopace is really just mainly an expensive vitamin & mineral supplement as I understand. It also contains soya which contains phyto-oestrogens that may have a weak oestrogenic effect but not completely understood nor conclusive evidence.
Personally, rather than take this, I would make sure your diet is tip top & balanced with lots of fresh fruit, veg, nuts and grains, low fat protein etc, and make any changes to your lifestyle to help you embark on this next stage of your life - eg limit alcohol, cut out smoking (if necessary) keep to healthy BMI, take more exercise, get out into the sun, reduce stress - and you'll be well on your way to feeling better!
http://www.menopausematters.co.uk/weightgain.phphttp://www.menopausematters.co.uk/diet.phpHope this helps
Hurdity x
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