Hello everyone,
I have scoured through every post available on this forum in relation to this subject and I still could not find the answer to my question, so I was wondering if those who are post menopausal and taking HRT who have a Mirena IUD inserted can help me.
I am on quite a high dose of Estrogen (equivalent to 1.25 microgram patch), and I found that I was getting spotting despite using Prometrium inserted vaginally.
On December 15th 2023, I had a dilation and curettage with hysteroscopy and biopsy (under general anaesthetic) and at the same time had the Mirena fitted.
No cancer found.
4 months later, I am still spotting every day. It is a very small spot, usually once a day in the morning.
I recently had a scan, which indicated that the Mirena is correctly in place and the lining measured 3mm.
I understand that for some people, the spotting does not go away.
My questions are:
1) For those of you who still have spotting, how can you be sure it isn't sinister? Do you rely on scans?
2) If a scan appears to be normal with no irregularities and a lining that measures less than 5mm, can I assume that nothing sinister is going on even if I continue to experience spotting?
3) If not, what am I to do?
A small spot once a day does not bother me in the least.
But it's not knowing whether that should be something of concern that bothers me.
I don't want to have to have a biopsy every 6 months, as that will require going under general anaesthetic each time as my cervix is too closed to do in the office.
I'm really curious as to what others in this situation do to ensure that any ongoing spotting is not an indication of something more serious.
I appreciate any advice
many thanks
