Hi Rach1
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
So sorry your post got missed and especially as it's your first post!
I am wondering why you had your coil removed - because it sounds like it was controlling your bleeding to the extent that it stopped your natural periods? If you are able to as a result of your op, then I would ask to have another one ( I presume you mean Mirena?) because this is the best way to control bleeding, provided there is nothing wrong. and I presume your doc has checked. The problem with the coil is that because when it stops periods eventually in many, women it comes as a shock when it's removed and they return - which is what they would normally be doing in many women if you are peri-menopausal.
You have been given two different continuous combined HRT types which are for women who are post-menopausal and unless you know that you are ( and it sounds from the bleeding that you're not - as well as because your age - although you might have premature menopause?) - then you should be on a cyclical HRT.
I would ask for a coil if no medical reason why not and then you can have a patch or gel oestrogen and stop the omeprazole (which can affect vitamin and mineral absorption so I have read), if the digestive issues were just because of the HRT tabs.. Transdermal oestrogen is recommended for women who have digestive issues with oral oestrogen as you are doing. Even if you can't have a coil I would go for a patch or gel ( + separate progesterone) and the doc should know this.
Here is the info from this website:
https://www.menopausematters.co.uk/route.phpIndications for non-tablet route.
Individual preference.
Poor symptom control with tablet HRT.
Side effects such as nausea with tablet.
Bowel disorder which may affect absorption of tablet therapy.
History of migraine (when steadier hormone levels which may be achieved with a patch may be beneficial).
Lactose sensitivity (all tablet preparations of HRT contain lactose).
History of gallstones.
Current use of medications such as anti-epileptic medication which may interfere with the break-down of tablet HRT.
Variable blood pressure.
High triglyceride levels.
Risk factors including Body Mass Index greater than 30, family history or past history of deep vein thrombosis or pulmonary embolus, after full discussion and specialist advice when necessary.Hope this helps and hope you enjoyed your holiday - really sorry this was missed
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
Hurdity x