The thread on (age of) menopause has got me thinking about my options. I am 51 and still menstruating regularly. (I so want to be an 'average girl' in this instance and stop in next year or so. Mum was 52/3 so hopeful, but what if I go on another several years. aargh!) VERY heavy periods, and for last few years I've been using tranexemic acid and mefenamic acid (Ponstan) to control this. It works and I can go out and about on bad days, in a way i couldn't before I had those meds. However, I've been told I need to have its use reviewed. I am having a flare up of an autoimmune problem with my liver and concerned the Mirena will be pushed on me. I don't wanta Mirena or coil of any kind, don't need contrception as DH had his tubes done. Just don't fancy it and have concerns about the side effects. The practice GPs seem quite keen on Mirena, and it's been suggested to me as a good option with few side effects, and obviously it would be better for my liver. i've read all the anecdotes about problems with Mirena (weight gain, mood swings, acne, irreg bleeding - I have these already, why seek more trouble?), and wonder if anyone knows of good quality research on this. So i can make an informed choice and have info at fingertips before I see doc again.