Is the Mirena Coil causing this or the start of menopause?

[WH50]

I'm 51, have Mirena in since October 2022. It's been great overall, no periods, except for the last couple of months I've had light intermittent periods, I've also had a few migraines over the last year or so, something I've never suffered with before.

Today, I'd slight cramps, a little bleeding and a migraine, which made me feel nauseous.

Is this Mirena wearing off, I wonder and should I book an appointment with GP? Not on any HRT

Absolutely no medical expertise, but I started to get similar at 49 on the mini pill after years of no periods - it was like it wasn’t enough to hold back peri! I now have a Mirena and oestrogen gel. The Mirena lasts longer than four years (I was at the doctor for an ENT thing a few weeks ago and asked him as I was leaving, because mine is four years in July) so probably worth making an appointment to see what’s what.