Menopause and symptoms on Mirena oil ?

[meme70]

Hi I’m 48 - 49 in October
In 2015 I have a miscarriage then fell pregnant immediately with twins had hemorghing lost one at 2 months pregnant had soils bed rest and at 5 months pregnant and caught sepsis and lost baby Lily has intensive care stay 11 blood transfusions in 3 monyhs and time Hotmail medication
Previous I had 2 Mirena coils 1 5 years 1 4 years removed to try for a baby.

They had to replace it after baby loss as I keto hemorghing dangerously and it stopped all the bleeding.

Now as I have a Mirena coil I’m not sure if I’m perimenopausal etc

1. Can’t sleep or wake up constantly through the night.
2. Losing weight has became a real challenge I don’t lose weight now unless I’m eat below 1000 weighed and measured calories.
3. My breasts hurt 3 weeks a month every month
4. My libedo has run off somewhere and hid 🙀
5. Feel very exhausted and a bit low.

I don’t have periods as Mirena coil but how can I tell I’m approaching or near or in menopause ?

Thanks

Sorry my phone has made auto correct spelling problems