I'm anaemic (ferritin is 8) and have heavy periods. I need to take something to control my periods. I had terrible acne with the mini pill but a gp said the mirena has a smaller concentration of progestogen and so may not have the same effect? She also said the implant isn't as reliable as the mirena for stopping periods so they wouldn't recommend that.
I have some anxiety about Tranexamic acid as I don't like the idea of taking something that encourages clotting. I have health anxiety issues, particularly when it comes to blood clots and even taking the mini pill made me terrified of getting one.
That said, I'm anxious about all my options. I'm really not keen on having the coil fitted at all. I know someone who had their coil 'disappear' and I've known people get pregnant whilst using it and then there's the increased risk of complications that comes with that. Also just seen another thread where someone couldn't have it fitted due to scar tissue from c section, of which I've had two. So yeah, none of this is helping my anxiety levels.
I feel I'm stuck between a rock and hard place and don't know what to do.
In the meantime, GP has referred me for an ultrasound to check there's no underlying cause for heavy periods and I'm waiting for her to get back to me about iron supplements as the ones I've tried previously have ruined my digestive system. I feel very much 'that awkward patient' at the moment!