mirena and testosterone

[Irritationcity]

I've been on the mirena since Jan (and one pump of eostrogel), lots of bleeding, almost continously for some weeks. These past few days have been blood free, which is really unusual.

I don't feel bad, but I don't feel great. I thought I'd feel better tbh.

I know that my testosterone is almost non-existent. I spoke to my doctor about it and she has agreed to try me on some for 6 weeks. But on another site, someone said they prob wouldn't try testogel with a synthetic progesterone.

So now I'm in a quandary. Do I try utrogesterone and then add in testosterone? Or do I stay with what I've got - i've got no idea if utrogesterone will suit me? Or do I try the testosterone now? Or do I put up with how I feel as it could be worse?

I have no idea why anyone would say don't try testosterone with a synthetic progestogen- did you ask why? Fair enough if there is a good reason.

The only thing I'd suggest is not swapping 2 things at once 'cos you won't know which is good or bad for you.

If you want no-bleed HRT you'd have to take Utrogestan every day (or for half the month otherwise.)

Personally, if the Mirena is not controlling the bleeding after almost 6 months it doesn't look as if it's working though some drs would say wait till July.

I think I'd stick with the Mirena while trying out testosterone otherwise it all gets too complicated!

Thank you, Polly. I think because there was no evidence of how testosterone works with synthetic progesterone?

Have you found a lot of people on this board get on with utrogesteran?

I don't understand that. Why does testosterone have to 'work' with anything? Doesn't it work regardless?

I think with utrogestan, you just have to try it. Some women find they have side effects with it, but that applies to most things- depends how bad they are. I get on with it fine. Makes me a bit sleepy first thing in the morning (you take it at night) but nothing too terrible.

Re: Urogestan and sleepiness - does that improve? Or have you always felt that in the morning. Do you find it makes it hard to get up? I am a very early riser for work/exercise, so would hate to feel that I literally can't get up!

You just have to try it. Everyone is so different- what I experience is not necessarily what you or anyone else will. You can also use the capsules vaginally (not licensed for this but private specialists suggest it can be) so that avoids some side effects.

Sorry, Polly, I'm being pedantic and annoying - but are there women who don't experience the woolliness in the morning? Does it prevent you getting up/do you push back getting up?

No of course it doesn't stop me getting up- I get up around 7am and get on with the day as normal. :)

If you look at Nick Panay's or professor studds websites they don't say anything negative about a combination of mirena and testosterone.
What are you on this combo of hrt and mirena for? Peri? Menopause? Or bleeding?

Patchouli666, Early menopause (no period for a year). I'm 47. Osteoporosis in family. I've got osteopenia. HRT was considered conducive...

I've decided to stick with mirena, up oestrogen, apply tesosterone in 3 weeks.