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[perimandy]

Hello I wonder if someone can help me?  I'm due to have an ablation in about 4 weeks time for very heavy periods.  I have been on Tridestra for about 2 years for night sweats, dryness and mood worsening (I have mild/moderate anxiety and depression anyway).

I Saw the gynae in Sept who said she would put me on the list for ablation as tranxemic acid wasn't enough.  She said as you are on a long cycle hrt come off it now, so I did.  Since then, no periods!! My last period was about 10 September, and that was generated by the end of the Tridestra packet as expected (I used to have periods more or less every month while on Tridestra though, it never gave me just one every 3 months). 

So, I'm kind of watching and waiting to see if I get another period before the ablation date (17 December).  Would it have been the Tridestra giving me the heavy painful periods?  Although they had been getting worse through my 40's, so even before I started the Tridestra.  I'm struggling without the hrt to be honest, the flushes are something else aren't they? and I do feel very depressed.  I am yearning for oestrogen back. 
That's another question - can you use oestrogen only hrt after an ablation??? does anyone know?

HOpe someone can help me, the 'waiting' for a period is really messing with my mind.  If I cancel the ablation (I guess I am planning to wait til about 2 weeks before the op date) I reckon I can bet my bottom dollar I'll get a period the next day!!

Thank you for reading
Mandy x

[AgathaC]

Hope someone with experience of this comes along soon xxx

[Zara69]

Hello I had a successful ablation 4 or 5 years ago.  I can't help with tridestra. I use HRT but only after the ablation and I don't bleed on it.  You do need progesterone as there can be womb lining left behind x

[Hurdity]

Hi perimandy

Tridestra isn't suitable if you are still having regular periods and I can't understand why it was given when you were having heavy periods!! It is for late peri-menopause when periods are few and far between. If you were having them regularly every month while on the Tridestra then it is likely that your own cycle was causing these. Adding what is effectively unopposed oestrogen for two months to your own cycle is also likely to make any natural periods much heavier and if it is not all shed due to your own cycle, then once you take the progestogen in month 3 the lining that has built up will come away also making periods heavier.

Interesting though that you haven't bled since stopping if you were having regular periods on the Tridestra right up until stopping this HRT? If this is the case then maybe you are further on in peri-menopause and the bleeding was due to the HRT. Doesn't explain the regular periods on the HRT though unless coincidence?

However I can't understand why the gynae has suggested an ablation at all. There are other ways of dealing with heavy periods anyway - one of which (less invasive) is the Mirena coil so have you thought of that? You can then add in oestrogen at any dose you want that controls your symptoms without worrying about the bleeding.

Have you had a scan just to check that the bleeding is due to the HRT and whether you have fibroids etc? I presume that as it has stopped the docs are happy that the HRT was the cause.

In your position I would definitely cancel the ablation - and put it on hold prior to trying the Mirena for example. It's good that you have stopped HRT completely just to see what is happening to your periods - given your circumstances but  do now think about a Mirena. Even if your period does come before the op - doesn't mean to say you need an ablation...unless you continued to have heavy periods in the absence of HRT. Even so the Mirena is better.

Hope this helps.

Hurdity x

[perimandy]

Thank you very much for your responses. 

The ablation was suggested because I had a mirena earlier on and I felt the progesterone made my mental health worse, I was getting physical anxiety symptoms, such as chest pain, if I got worked up about anything (even a short train trip to London would send me into spirals of anxiety, and usually I would manage that with minimal anxiety symptoms). I think I might be progesterone intolerant (thanks to the Forum, I didn't know such a thing existed!), I always had terrible depression with PMT.  That also was a reason I was on Tridestra as it was a way of maximising oestrogen and minimising progesterone.  While on the Tridestra on tht prog pills I used to get very low and obsessive thinking which I don't usually get. 

After the ablation the gynae suggested I take a combined continuous hrt, even tho I'm a bit young, 52, but I'm not sure How i'd get on with all that progesterone! 

This all seems so complicated- and I'm so fed up and low.  I take escitalopram daily (and have been on anti deps for about 13 years, it's how I still function and have a job!), and have just done a CBT course (not overly helpful if I'm honest!)

So That's a long winded way of saying why I feel a mirena isn't any good.  I know hysterectomy is radical, and of course is major surgery, but I have even thought of paying for one privately so I can take oestrogen alone.  Which I do find has an antidepressant effect. 

I'd be grateful for any other ideas from anyone, many thanks
Mandy x