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[Grheliz1]

It wasn't comfortable and I was glad it didn't go on any longer but I wouldn't say more painful than perhaps a bad period cramp? And for seconds. 

I have oestrogen gel (rather than patch) plus Mirena and it works very well.

I was apprehensive about having one fitted but managed the procedure well. A bit of initial bleeding and occasional spotting six months later, but I really and truly don't give it much thought at all now. It doesn't have a noticeable effect on my moods.

That's really good to know, Grheliz1, thanks for replying. Was it painful to have it fitted, or just uncomfortable? Great to hear your moods haven't worsened with it.

[loonarider]

Hi everyone, starting a new thread for this question.

Has anyone had any positive experiences with Mirena coil in peri? Logically, it sounds as though it may be a good option for me to try next... if I can get over my fear of the fitting/removal aspect of it, especially as my last smear test was unexpectedly painful due to dryness. I think I want someone to come along and tell me it will be ok 

I've so far tried two HRT regimes for peri, Evorel Sequi, then Evorel50/Utrogestan. So far, oestrogen is a success with physical symptoms, but progesterone is not helping extreme peri mood swings/anxiety, in fact Utrogestan made them much worse - very, very dark, suicidal thoughts ramped up a lot - it was scary so I stopped taking it and within a couple of days I felt a million times better, so it seems I may be intolerant to progesterone.

I've been offered these possible alternatives and told to come on here to find out more about them:

1) oestrogen patch + Mirena coil

2) Femoston oral tablets

3) Timbolone (synthetic)

4) oestrogen patch and progesterone pessary

I'd be very grateful to hear from anyone with any experience of any of them! Thanks in advance. x

I am waiting on a mirena coil fitting under general anaesthetic. There is about a 4 month waiting list.

Everybody's pain tolerance is different, but it could 've been the nurse who inserted it lacked the know how. It was bad.

The pain was excruciating, I've never felt anything like it and nearly passed out. It literally felt like someone was cutting up my uterus/womb. Just horrible. I really tried though.

So it's a long wait now for it to be done under sedation.

I hope your experience won't be like mine. I wouldn't wish it on my worst enemy.

[Orangefoot]

I can’t tolerate Utrogestan even vaginally. Rage and despair are not good at all.

If you feel you are sensitive to progesterone there are IUS with less hormone than Mirena. I have a Jaydess which is the least possible amount of progesterone but it’s still working to reduce bleeding to next to nothing and it doesn’t make me unwell physically or mentally.

I use this with patches and it’s been ok for 2 years so far.

Get it put in by a skilled nurse, not someone practicing and ask about local anaesthetic.

[Peripurple]

I have the Mirena and oestrogel.  No problems at all having it fitted, sometimes they say it’s harder to fit if you haven’t had children or a vaginal birth, well I had all caesarians and it didn’t hurt to have it at all.  I think the most important thing is to have someone experienced fitting it.  One GP at my surgery does all the coils.  A little tiredness and spotting for about three weeks after and no problems since.  That was 3 years ago.

[PeriWhat?!]

This is all so good to know, thanks @Peripurple @orangefoot @loonarider @Grheliz1

The pain factor is an unpredictable one, both my babies were born vaginally and without any pain relief, but when I had my last smear test it was unexpectedly quite painful in a different way, which is making me nervous about coil fitting and removal.
 Logically, there's no way on this earth that a smear can have been in the same pain league as childbirth! And yet... Perhaps it's just that we do a lot of mental prep to get ready for childbirth pain, but you really don't expect it from a routine smear test? Or perhaps it is the start of VA (ugh).

I'm also a bit  at the thought of having a contraption stuck inside me for five years, but I know that is just a mental hurdle I'll have to get over if a coil turns out to be the best thing for my peri mood swings. Swings and roundabouts, isn't it?!

Very good to know about the Jaydess @orangefoot, thank you.