Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Sphere27 on September 03, 2015, 08:53:20 PM
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Hi
A question on behalf of a friend. She has had coil in for 7 years. GP gave her oestrogen only hrt. She is 52 and wondered would the coil still be releasing enough progesterone after 7 years?
Thanks ladies x
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Mirena will still be OK at this stage for contraception but it can only be used for the progestogen part of HRT for 5 years, it can not be relied on after that to provide enough progestogen to protect the womb lining from being stimulated by the estrogen. Therefore, either the Mirena should be changed for a new Mirena and continue estrogen only HRT, or the HRT should contain both estrogen and progestogen.
I hope this is helpful
This is an important point. Would anyone mind if we include a version of this in the next issue of Menopause Matters magazine?
Best wishes
Heather
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It sounds a good idea to me.
Taz x
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Mirena is only licenced for use for 4 years as an oestrogen opposer during HRT use. Please don't get this bit wrong if you are giving advice in a magazine....
In fact sphere27 I would suggest that your friend goes back to her GP practice and ask them to raise an incident report. Prescribing Unopposed oestrogen is a very serious matter as it increases the risk of endometrial cancer. Whilst it may seem trivial - if your friend was given repeat prescriptions for 10 years it could be a very different matter. It happens. Women have got endometrial cancer in the past because GPs have done this.
Negligence springs to mind.
Pollie
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While it is licensed for 4 years for this purpose, it is recommended that it can be used for 5 years.
It is incorrect to rely on it for more than 5 years for the progestogen part of HRT.
Best wishes
Heather
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Thank you very much .
Will pass this onto my friend.
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Yes should be brought up in magazine if this is happening. Was only when she mentioned it
To me I thought didn't sound right. She had no idea.
X