Taking Microgynon in your 40s - alternatives

[OooohHorlicks]

I switched back to Microgynon a year ago after a few years post DC of having to deal with horrific periods. I run three packs one after the other without a break. Had previously been on it throughout my 30s as it seems to manage my hormone fluctuations quite well. I'm starting to worry about the stroke risk though - was a smoker for much of my 20s and some of 30s.

I cannot cope with the coil. Can't go back to having periods.

Anyone been in a similar position? Any advice? I'm considering ablation. GP not much help other than repeatedly offering the coil.

Well theres the implant (nexplanon) but you might get irregular bleeding with that, there's also the mini pill but again side effects of irregular bleeding, even with the more reliable cerazette. You could go for a lower dose oestrogen containing pill if you are worried re stroke risk. Or, to agree with your GP the mirena IUD would be good as this would shrink down the lining of your womb.
Why cant you cope with the coil (IUD)

Thanks Musical. I can and never will get past the actual idea of the coil. I've tried a variety of times but I can barely even talk about it. I'm fairly pragmatic about most things except the coil. No real idea why but I'm sure nothing's going to change my mind.

Mini pill sent me doolally.

Is bleeding generally lighter on the implant?

It really varies. But you could have it and seen what happens. If problematic you can have it removed. takes about 10 minutes to put them in and a bit longer to remove.