Hi Clarella,
Well not sure but the mirena is to blame with my other symptoms as I think the oestrogen patches should be better control these. I get mood swings, cyclical exhaustion, night flushes, VA, joint pain and muscle fatigue, and these kick in badly mostly on the week prior to and including the week of my menstrual 'bleed' such as it is.
I should note that I have increased my patch to 100 in a bit to suppress my natural cycle, due to pms\pmdd symptoms, and many ladies note that any change in any form of hrt can alter symptoms, including sometimes bleeding. It can take a while for the body to settle on a different dose of regime.
Obviously I am not an hrt expert, and we all have different symptoms and reactions, but keeping notes of changes through my month, it appears my symptoms are a lot cyclical so I do not think the coil is to 'blame' for my changes. I personally cannot think of anything else The mirena contributes in a negative way.
The process of taking utrogestan on and off through the month made my own symptoms far more erratic. It is the better form of progesterone for me and the way my natural cycle, being peri, seems to something haywire. I feel a bit more of a steady control of that makes sense?
Sorry this answer is not a clear yes or no! But as we all do, I have other factors to work with too. X