Mirena instead of Utrogestan?

[NickyNora]

Attended yet another menopause clinic yesterday. First appointment at Guys Hospital in London & I wasn't very impressed in all honesty.

I was advised to use patches instead of Estrogel.

Swap Utrogestan for a Mirena Coil.

I had a horrible reaction to the progesterone in Femoston so I'm very wary of changing my HRT.

When i questioned the doctor, she did do blood tests.

Any one else find changing their HRT combination help with symptons?

The hot flushes, memory issues, zero labido & fatigue are still an issue. Does a Mirena help improve labido?

Sorry, my paragraphs have disappeared!

Can't really comment fully Nicky without knowing more.

1 Why did you do to a new clinic?

2 Why did they suggest patches/ Mirena instead?

Assume they gave reasons or it was a two-way discussion of pros and cons?

why did you have blood tests?

Mirena does not improve libido, no.

Is it that you don't want sex or you are finding it hard to orgasm? You do know that the vast majority of women do not have orgasms very often anyway, when they have sex? You can still get a lot out of sex without an orgasm.

I had blood tests to check my estrogen & testosterone levels.

My GP referred me last year to Guys.

I still have alot of symptons on Estrogel, Utrogestan & Testosterone. So looking at alternatives.

I always enjoyed sex & always had an orgasm until my periods stopped.

I have zero labido. To then not even be satisfied after having made the effort, makes sex seem quite pointless.

Can't see how changing to a patch will help unless you were not absorbing gel or didn't like using it.

Mirena likely to be worse as there is a constant level of the progestogen in your blood stream.

Is your lack of interest in sex a relationship issue? Do you still find your partner attractive? maybe it's something that happens in many long term relationships (if it is long term.) Can you have an orgams if you eeerrr...do it yourself? I'd not get hung up on orgasms- as I said, the evidence is that loads of women don't have them that often but still enjoy sex.

I said exactly the same. I couldn't see the benefit in the changes suggested but i felt the doctor wasn't listening.
I don't have enough knowledge to argue my case with a registrar.

I'm in a newish relationship. I struggle to orgasm regardless of what i do with my partner or by myself.

This was never an issue for me before the menopause.