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[Tinkerbell]

Why not stay with the Mirena then if it suits you, i have a Mirena and use Estrogel and for me it is a great combo.

[Rhiner]

LJP,
Just to add to my previous post, I take it orally, started alternate days (now Im 2 days on one off on 100mg). I have never tried vaginally as its worked OK for me orally and it sounds a bit messy, There is still a systemic effect vaginally (but bypasses the liver as others have said).

Good luck with whatever you go with.
Rhiner

[Ljp]

Had a better nights sleep last night.

Don't let it stress you out. Maybe you should opt to stay on your current regime if it is working.

The reason for specialist suggesting that I try utrogestan, and to take it orally, is firstly, the problems with VA and everything shrinking etc, is there is increased risk of problems inserting the mirena, as it is, the one I currently haves strings have gone awol in my cervix
Secondly she Prefers women use natural body identical progesterone if possible, and thinks the oral route is better as progesterone has uses throughout the body, not just for protecting the uterus.

She suggested I try now as my coil has been in 4 years, it was initially said that as part of HRT, a mirena should be replaced every 4 years, however, current guidelines suggest it's ok for 5.
What she said was, before removing mirena, I try the utrogestan for 3 months, she'll see me again in 6 weeks, see how I get on.

She said coils aren't great past mid 50's, looking for long term Plan now 😊

[Tinkerbell]

That's bad news then, i am 56 now and my Mirena will need replacing next year, i hated the Utrogestan, looks like i am doomed then

[Tinkerbell]

I have no shrinking or signs of VA accoring to GP now i have VA controlled, but i think the uterus shrinks, is that the reason why they can be difficult to fit?

[Sammiejane]

everything shrinks and sags !

lol the joys and i had to have this all 15 yrs early !! haha 😂

[Tinkerbell]

Great! I will have to cross my fingers that the replacement due next year works and worry about what to do after that

[Ljp]

So far so good with utrogestan and intrarosa 😊

First night had rubbish sleep, but I think that was due to anxiety of starting new regime, and having read so many differing experiences and opinions.

Second and subsequent nights I've slept well, after second night, I felt a bit nauseous, and dull head,  but not since, in fact I'm feeling good, but it's only been 4 nights lol!

I'm happy to continue taking utrogestan 100mg daily orally at present, I still have my 4 year old mirena too, so until I see my meno specialist again in 6 weeks, I'll do exactly as she suggested.

Tinker bell, I have no “obvious” signs of VA either, having had 7 Mona Lisa treatments, estring and HRT for last 4 years, it's been a lot better, plus I definitely think the tostran is helping.
However despite all that, the meno specialist suggested the intrarosa to further help bladder and VA, and she said mirena isn't advisable from mid 50's  due to shrinkage 😩....don't like this ageing lark!

[Ljp]

Does anyone know likelihood of me getting and spotting/bleeding now I'm taking utrogestan for the first time and still have mirena?

Had very little in last 4 years, although did have a bit last month for a couple of day's, suspected maybe due to mirena reaching retirement age

[Tinkerbell]

It's depressing, I will be 57 when my Mirena needs replacing and was hoping to have another one, so don't know what I shall do if it's a no no!
Good to hear that you are getting on with the Utrogestan.

[Perinowpost]

Re the mirena not being advisable from the mid 50's I totally agree.  I had a really traumatic experience, trying to have the jaydess (mini mirena) fitted earlier this year, which had to be aborted. I went into shock and it's not something I'd ever put myself through again.

My friend however, had hers done under anaesthetic, so for those who prefer that option there is a way round it x

[Perinowpost]

Thanks Birdy, we put ourselves through so much on this meno journey trying to find a solution don't we?x

[shrosphirelass]

Tinkerbell, I'm 57 and my Dr said he would be happy for me to have a mirena fitted. In fact, I got the impression it was his preferred option, maybe because it offers good value. I'm currently on evorel sequi.

[Ljp]

It's depressing, I will be 57 when my Mirena needs replacing and was hoping to have another one, so don't know what I shall do if it's a no no!
Good to hear that you are getting on with the Utrogestan.

If you've not used utrogestan for all the years you e had the coil, you may we'll find you can tolerate it now you are further into postmeno? Just a thought x

[Ljp]

I hasten to add, my meno specialist didn't put rule the mirena, she just suggested now was a good time to try utrogestan as mirenas aren't recommended after mid 50's due to internal shrinkage making them more difficult and uncomfortable to fit.

She did say though that if I don't get on with utrogestan she could give local anaesthetic into cervix and change mine

Hope this helps..

Anyone answer my question regarding likelihood of having a bleed please?

Does anyone know likelihood of me getting and spotting/bleeding now I'm taking utrogestan for the first time and still have mirena?

Had very little in last 4 years, although did have a bit last month for a couple of day's, suspected maybe due to mirena reaching retirement age