I'm 44, still having regular periods but started bleeding when I ovulate about 6 months ago. Sporting type bleeding but a new thing. I've had blood tests an internal scan and latest thing, a hysteroscopy. Nothing sinister found, no polyps or fibroids. A biopsy was taken anyway to be sure. I have other symptoms of peri, I believe, such as insomnia, thinning hair, brain fog at times, increased anxiety at times (I'm also on Sertraline long term for low mood), I'm not sure if I have hot flushes as such, but I feel "overheated" a lot of the time. The nurse i saw at the hysteroscopy seemed to suggest that because my periods are still regular, although I might be peri, the Mirena would just be offered to stop the bleeding (which is bearable and not painful) rather than anything to do with peri or hrt, though mirena could be used in conjunction with oestrogen based hormone replacement "in the future". What I'm wondering is, should both be offered to me now? I KNOW that things are changing for me, hormonally speaking. I've read things about women who are peri who should be offered hrt but ideally I would like to know what to say to my GP which will persuade them to try this for me? Any advice or links to relevant websites which recommend this very welcome.