After a blood test, I've been told by my GP that I'm now menopausal and not perimenopausal as I assumed being only 48, with high FSH levels.....and after consideration I'm doing the HRT patch thing along with my Mirena coil as I just can't cope with the symptoms. Anyone else struggling with vaginal dryness/itchiness and complete loss of libido??? Please say there is.... It was never that great anyway but now I have absolutely no interest and would be quite happy at this point if I never had to do have sex again. Quite hard on my other half as I don't even have the faintest glimmer of feeling like it anymore. It's like someone turned off all my lights. No point in mentioning the other symptoms as they pale into insignificance.