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Menopause Matters magazine ISSUE 82 out now. (Winter issue, November 2025)

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Author Topic: continuous utrogestan will this give me less anxiety than mirena  (Read 232 times)

Poppy2025

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continuous utrogestan will this give me less anxiety than mirena
« on: December 15, 2025, 10:34:52 PM »

Hi, I'm hoping someone may be able to help me! I had the mirena coil fitted approx 3 months ago in order to help with my heavy frequent bleeds and huge amounts of pain (I was recently diagnosed with adenomyosis). It's worked amazingly for that - I stopped having periods almost immediately! However it has given me huge amounts of anxiety and repeated panic attacks - feels like it's put me in constant fight or flight mode. I feel my options are:
1. Add in estrogel as this may buffer the effects (I am likely perimenopausal at 45)
2. Take it out and try vaginal utrogestan (or another body identical progesterone) as I've read this doesn't have such pronounced anxiety side effects. Then when this settles I could try adding estrogel.

Can anyone please tell me if continuous utrogestan would also keep my periods stopped? And has anyone found it to be better from an anxiety side effect perspective than the mirena?

As debilitating as the anxiety currently is I'm still loath to go back to the level of pain and the anaemia I was having prior. Surely there's a way to do that without feeling like I do currently though! 🙏
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Fusseh

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Sorry to hear about your anxiety. Sounds awful.
I can only tell you my experience. I had Mirena fitted 10 months ago. Gradually I have felt better and better but it took some time to sort everything out.

Gradually my headaches got worse and anxiety remained quite bad on/off.
BUT
I found 99% of symptoms have now resolved since I increased my estrogen to 75mg. Seems like I had to get the right balance between the two.
I have taken HRT for 6 years and at 53 I'm at tail end of Perimenopause.
You could try adding in some estrogen.
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