Menopause Matters Forum
General Discussion => New Members => Topic started by: che on March 16, 2025, 10:54:49 AM
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Wondering what other people experience of the coil are, i have had post menopause bleeding and gp want to use a coil, i am currently on a patch. Which i am happy with. being sent for a hystoscope as a precaution, but gp is sure it is low progetrone. I have read some horror stories about coils in the past and very nervous
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Most people have absolutely no problem with the mirena IUS - the insertion is a lot less uncomfortable than a hysteroscopy and it is a really effective way to protect the endometrium.
However having a foreign body inserted is not for everyone, and it is worth being aware that you would be dependent on a clinician to remove it in the event it didn't suit you, rather than something self administered that remains within your control.
There are multiple oral synthetic progestins which you could try first if micronised progesterone hasn't been adequate for you.
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I had a coil fitted two years ago, at the age of 59 and 10yrs post menopause. I'd started HRT around 12mths previously and had an unexpected bleed, GP referred me and I had a trans vaginal scan which showed a very slightly thickened endometrium. The gynae suggested I have a Mirena coil fitted to ensure my body was getting enough progesterone. I was reluctant at first as I'd had a contraceptive coil in the 80s and had to have it removed after just a few months. The gynae assured me that coils have changed since then and that if it didn't, by any chance at all, suit me I could have it removed again.
I decided to give it a go and it was fitted at the same time as they did a hysteroscopy and endometrial biopsy. The whole procedure was a little uncomfortable but not painful, I was warned I might get stomach cramps for a few days after but I was very fortunate in that I had no discomfort at all. I did have some light spotting for 12 weeks after but since then I can't even tell its there. I'd have no hesitation in having it replaced after it's 5 year lifespan :)
I know lots of people have different experiences but we are all so different in how our bodies react to HRT that all you can do is read up lots, chat with your gynae and try to make the decision that is right for you.
Good luck!
Suzie
Edit to add - Bombsh3ll posted while I was typing...my comment about having it removed in no way responds to Bombs great point that you're reliant on someone else to remove it! It's a great point and one that I didn't even think about at the time! Deffo food for thought.
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I've had one recently aged 64 and for me it's been great. I think it's like the rest of them, most people are fine on most hrt but there will always be a small number who aren't.
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Most people have absolutely no problem with the mirena IUS - the insertion is a lot less uncomfortable than a hysteroscopy and it is a really effective way to protect the endometrium.
However having a foreign body inserted is not for everyone, and it is worth being aware that you would be dependent on a clinician to remove it in the event it didn't suit you, rather than something self administered that remains within your control.
There are multiple oral synthetic progestins which you could try first if micronised progesterone hasn't been adequate for you.
thakyou yes thinking another type mwy be worth a try, i have a patch at the mo, but my gp is pushing me to have the coil
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I am on my second Mirena and had my first one a year post meno as I couldn't tolerate Utrogeston and wanted to continue with the Estrogel. I am now 61 and hope to continue with it. The first one I had daily spotting, more of a smear really, for 4.5 months, pleased I put up with it as had no other side effects after that.
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I am on my second Mirena and had my first one a year post meno as I couldn't tolerate Utrogeston and wanted to continue with the Estrogel. I am now 61 and hope to continue with it. The first one I had daily spotting, more of a smear really, for 4.5 months, pleased I put up with it as had no other side effects after that.
Thankyou for the reply, i think i may try progetrone some how first as i have had bleeding hence the idea of a coil, so having spotting for 4 plus months would maybe freak me out more as i would worry if it was the coil or something else again.
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It might be worth checking at your surgery if you're worried about removal. Mine has a nurse who can take them out so it can be done quickly if you need it. You can get bleeding on any new conti regime for up to 6 months and it's considered normal, I don't think a mirena is any worse than anything else in this regard.