Mirena coil and having hot flashes

[whathaveiforgottentoday]

I've been on the mirena coil for 5 years and due to have it changed shortly. However, I've started having hot flashes over the last few months so I'm I'm wondering whether I've started the menopause.
The GP put me on mirena coil to help with my migraines(which she put down to a perimenopause symptom) , which occurred monthly with my period (and started happening at ovulation too). It did work and my migraines stopped for a while and then came back but much less severe.

My dilemma is whether to bother having another coil or not. I'd quite like to know whether or not I'm still getting periods as haven't had a period for 4 1/2 years so have absolutely no idea. If I've started having hot flashes could it still be perimenopause or am I more likely to be further ahead.

Mainly, I'm just curious and would like to know what my body is doing. For those of you further along, how early did the hot flashes start and have I still got years before I go into proper menopause or not? I'm 45 but my mum had quite an early menopause.

[pinkfrocks]

The pros of having another Mirena are that if you wanted to use HRT then the Mirena gives you the required progestogen part, so all you'd need on top of that would be oestrogen patches or gel. many drs consider than combo the gold standard - no periods and fairly safe type of HRT.

Really hard to say how long your meno journey will be, I'm afraid!

In theory, peri meno can last 10 years. The average age is 51-52. Meno before the age of 47 is considered young and treatment (HRT) is advised.

Hot flushes are usually the first sign. Why not have your coil removed, try without it for maybe 6 months, have some blood tests for your hormone levels,(if GP is willing) then re-assess?

[whathaveiforgottentoday]

Thank you for your reply. I thought it was hard to say about lenght of peri/meno journey. I'm waiting for a hospital appointment as the threads for the coil have disappeared so I've got to go into hospital to have it taken out. I need to decide whether to have it taken out and replaced or just taken out.
I think I may go chat with my GP (who is fab) and see what she thinks. I can handle the hot flashes but I don't want the migraines back, but I'd really like to know what is happening. I'm just one of those people who wants to know even though I should be grateful that the symptoms aren't too bad and clearly the mirena has been doing a good job.