Hi Carrie
Meno is a real challenge isn’t it! I sympathise with the weight gain as I feel exactly the same when I put it on. I’ve got to say utrogestan on top of the mirena does not sound like a good solution to me. I’m glad you felt heard but wonder if that practitioner actually knows what they’re doing. It seems like progesterone overload to me and why you’d need extra prog when you’ve got the mirena I don’t know. It can only lead to extra weight gain. I gained about 9lbs when I had the mirena (despite barely eating anything), and I swell up every time I take utrogestan. It quickly drops off once I stop taking it.
I think trying the gel is a good suggestion though, because as your endometrium is protected by the mirena you can always experiment with increasing the gel if you need to.
Finally just to say you could try the new regime but ditch the extra prog (utrogestan) if you feel it’s too much as you have plenty of protection re the mirena. Let us know how you get on x