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[Susanas]

Yes Joziel, If I can stay on it for life that would be great! I do believe the benefits outweigh the negatives long term. I think I may take the plunge with the coil and see how I get on. Thank you

[Whitewitch1965]

I have private pelvic scans every 2 years, your lining thickness would not be seen as a problem,  this year when I went the sonogropher said they dont worry unless it's above 9.  NHS so over cautious.  I had a random bleed 3 years ago from having a spinal steroid injection.  My consultant said it was rare , my gynaecologist freaked out and wanted me at the hospital straight away.  When i went to get checked the sonogropher said,  oh it happens all the time after steroid injections,  because the steroid stimulates the FSH in your brain to release an egg!!! And my gynaecologist didn't know that🤷‍♀️🤷‍♀️

[AngelaH]

When i went to get checked the sonogropher said,  oh it happens all the time after steroid injections,  because the steroid stimulates the FSH in your brain to release an egg!!!

In post meno women?

[Mary G]

This is just a thought (I've just mentioned it on another thread) but why not consider a lower dose coil like the Jaydess or the Kyleena?  Personally, I found the Mirena is a bit heavy duty once I was post menopause and I only really got on with it when it was running out of steam at the end of its life and producing low doses of progesterone.

I know the Chelsea and Westminster menopause clinic offer them to progesterone intolerant women.  You might need to do it under supervision (ie scans) but that's the sensible thing to do anyway.

[Susanas]

I am definitely going to try the coil so need to research which one, will ask about the other 2. I’m assuming I will need a biopsy or hysteroscopy 😫 with the thickened lining so will ask them to insert one then. I am wondering if they can offer it with an intravenous sedative as there is no way I can do it again with just anaesthetic and I’ve never had GA so very nervous about that. I do think I need a high dose of progesterone as 100mg clearly doesn’t work for me as lining has doubled in 7 months!! So maybe mirena is what I need if higher dose? Well I am hoping it’s the hrt and nothing more sinister. Is it true that you can’t use a coil after age 55? If so, if you continue with oeastrogel how can you protect the lining?

Whitewitch1965; if that’s the case that has put my mind more at ease about it being anything more sinister although I am sure they will insist on biopsy or hysteroscopy 😫
Thanks for all the help, it’s very much appreciated as you all seem to have more knowledge than all the doctors I’ve seen so far! 💕

[joziel]

You can continue to use a Mirena coil as long as you like, there is no age limit for HRT purposes.

The only coil approved for use with HRT as endometrial protection is the Mirena coil, so there's nothing to research there...

If you are going to the hospital for it, you should be able to ask for gas and air at least and probably some other sedative as well.

[Susanas]

You can continue to use a Mirena coil as long as you like, there is no age limit for HRT purposes.

The only coil approved for use with HRT as endometrial protection is the Mirena coil, so there's nothing to research there...

Thank you! That has clarified things for me even more!

If you are going to the hospital for it, you should be able to ask for gas and air at least and probably some other sedative as well.

I have the gyno appt next week so will ask them, gas and air is better than nothing so hopefully they can offer that at least. Thank you 🙏

[Mary G]

This from the C&W and they say you need twice yearly scans with the lower dose coils:

https://www.chelwest.nhs.uk/your-visit/patient-leaflets/medicine-services/levonorgestrel-intrauterine-system-with-hormone-replacement-therapy

Private clinics also offer lower dose coils for women who find the Mirena too strong and I was offered one myself.  If, like me, you have never been pregnant, the lower dose coils are less painful to fit.

If you struggle with progesterone, I would definitely find out if either the Jaydess or the Kyleena are an option - someone on here had a Kyleena fitted.

Women need to have as many options as possible.

[Kathleen]

Hello Susana's

I also wonder how a steroid injection could have any impact on ovulation in post meno women. Perhaps ladies on the forum who have had steroid treatment would like to comment.

I agree with  that a scan etc is the way to go and this will definitely put your mind at rest.

Take care and let us know how you get on.


K.

[Susanas]

Thanks Kathleen 😊
I had my gyno appt. a couple of days ago. She is sending me for a hysteroscopy/biopsy/mirena coil fitting.  I asked if I could have an intravenous sedative to which she replied no, they don’t offer that option, it’s either GA or local anaesthetic. 🙄 So I said I would have to ask for a second opinion as I have been told they can offer this option. So she went out to check (my husband was outside waiting for me, and he later explained to me that she just went outside, stood there for a minute and walked back in!) when she came in she then said, yes we can tick that box on the form! 😳 so I can have the sedative, not sure why she said no and then pretended to check! Anyway, procedure is tomorrow and they will fit a mirena. She told me to go back down to 100mg of ultrogestgen as it will give a false reading as I increased to 200mg without asking. So I went back down to 100mg 2 days ago and this has now triggered a bleed 😣 so just aswell they are checking tomorrow. I will update you after procedure, thank you all for all your help. Much appreciated 😊

[joziel]

OMG this sounds bonkers 

2 days of less utrogestan isn't going to do anything except for to make for a messy experience for whoever is doing the exam 

Anyway, glad you are getting the Mirena and also glad you are getting the sedative!!

[Susanas]

OMG this sounds bonkers 

2 days of less utrogestan isn't going to do anything except for to make for a messy experience for whoever is doing the exam 

Anyway, glad you are getting the Mirena and also glad you are getting the sedative!!

Thank you Joziel, do you think the reduced dose of ultrogestgen has triggered this bleed? I have had zero bleed for the last month or so until today 😫

[joziel]

For sure. It's what triggers a bleed when women are on sequential HRT - we stop the utrogestan so progesterone levels drop...

[Susanas]

For sure. It's what triggers a bleed when women are on sequential HRT - we stop the utrogestan so progesterone levels drop...

Thanks, it fees like a period pain with bleed 😫 wish I hadn’t reduced the dose now!

[Susanas]

Hi, just an update for anyone planning on having a sedative for hysteroscopy. I had one yesterday and all went really well. The cannula hurt but once the sedative went in I was out!! Could not feel or remember a thing. They took biopsies and inserted the mirena at the same time so hoping this will not cause problems. It said all appeared normal so will see what gp letter says. This will be my go to option if I need another hysteroscopy for sure. Thank you all so much for all your help, much appreciated 😊🙏