Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: suey43 on October 06, 2025, 09:59:24 AM
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Hello there,
I've been on HRT for over 10 years but still struggle with insomnia, which I find extremely challenging to cope with. I'm currently on 50mcg Estradot, Mirena coil and testosterone. I was wondering if anyone has tried taking oral progesterone on top of the Mirena to try and provide a bit of help for the insomnia? Is it OK to do that does anyone know? Does it help with insomnia? Anything else worth trying?
Thank you so much!
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R U able to describe your insomnia in more detail?
Many years ago I was in a very busy responbile job which would keep me awake, then I would worry that I would be useless the next day. One night I thought 'well this hasn't killed me yet and I've not knowingly made any mistakes' and went to sleep. Crass but I didn't have problems after.
I have used anti-histamines or anti-travel sickness [Kwells ]. medication briefly when going through a traumatic family issue. It enabled me. My GP gave me 5 tablets, 1 at night - I managed with 3 to get me back into a pattern: I found the 2 remaining last week in the cabinet: prescribed in 1989. ::)
It can be a mind set. It may be due to hormones rising/falling which causes disturbance, or even needing to pee often. Do make sure that u remain hydrated, don't stop drinking at night because the kidneys will work harder.
I often fall asleep in my bubble bath ;D
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Though I understand the coil has progestrone in it?
I do quite well with oral progesterone. Perhaps the coil is not working for the sleep.
I had insomnia when my journey started. Either I could not fall asleep or stay asleep. However with oral progesterone it knocks me out within the hour.
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Yes, the progesterone knocks me out too. I fall asleep as soon as my head hits the pillow and sleep deeply until the alarm wakes me up. I am also quite drowsy and sleepy during the day as well which is not so great- but that doesn't happen with everyone!
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Utro acts a sedative so many people find their sleep improves, although it made mine worse. It may not be a great idea to have it as well as a mirena though. Insomnia can be an oestrogen deficiency symptom in which case increasing your dose would be a better way to go. Do you have other uncontrolled meno symptoms?
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Yes, I have a mirena but my Dr suggested adding 100 of utrogestan to help sleep. I love it! I take it 2 hours after dinner. An hour after I've taken it I have a small snack then go to bed and I drop off so easily and sleep great for the night. Delighted she suggested it. So it's definitely worth trying.
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I hate the hung-over feelings when that alarm goes off >:(. Until I retired I didn't realise how badly that sudden waking affected me. If I can sleep until I wake naturally I'm much better than when we need the sudden shock of the alarm.