Hi Mrsmuzzy2210
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
How very dare the doctor fob you off like that!
I completely agree with Kathleen!
The first thing is - if you are likely to be peri-menopausal,. at your young age the doctor should take two blood tests 4-6 weeks apart to determine FSH levels - because they vary with your cycle. As Kathleen said, if your mother had an early menopause then you might well do too. In the absence of a proper cycle due to the Mirena then if you are experiencing symptoms you describe including hot flushes, then menopause is a strong possibility.
Secondly you have a right to see all your blood tests results so telephone the receptionist and ask for a print-out (you might have to pay for copies but ideally not). It's your body FFS! Your doc should not withhold this information from you. Where I live in SW England all medical information is now online at our practice and you just register for a log-in and just look at them yourself.
The first line of treatment for menopausal symptoms (including hormonal anxiety, low mood etc) is HRT - NOT anti-depressants - and especially with no particular reason other than hormones to be feeling like this. The NICE Guidelines (Nov 2015) recommend this.
Personally I would not take the sertraline - at least not in the first instance as your doc is wrong in prescribing this initially before giving you another blood test as above, and as you say the feelings have come out of the blue and out of character for you. This is very typical of peri-menopause - women become less able to cope with ordinary stresses and strains of life due to the hormonal surges - but doesn't mean they are depressed nor that this needs medicating with ADs! At your young age I suggest you really do need to get the hormone issue diagnosed and sorted before thinking about anything else - and especially if you do need HRT (which is very likely due to your age - if an early menopause is looming) you want to be able to arrive at a dose which suits you without other meds muddying the waters.
Do read around as much as you can as CLKD suggests - there is a lot of info on this website! If you need any more ideas then please ask and we will try to help...
Here's an article on peri-menopause to get you started:
https://www.menopausematters.co.uk/magazine/pdf/Article%20-%20Perils%20of%20the%20Perimenopause.pdfHope this helps
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
Hurdity x