Best HRT after Mirena removal

[beany75]

I'm 51 and having had my Mirena coil for 4.5 years I'm due to have it removed this week. I had it as my periods became too too heavy but then had menopause symptoms so started oestrogen only HRT tablets alongside it (Premarin) two years ago.
I need to start new HRT treatment but
A) I don't know if I'm yet through my menopause and
B) I'm wondering what is the best HRT to go on after having a Mirena coil?
Unfortunately my GP is ancient and useless - she has told me to look on the internet and tell her what I want!!! The Mirena was fitted by a private gynae but as I have now been made redundant that is off the cards sadly
Any advice appreciated - TIA :)

Why are you habit it removed after only 4.5 years? Although it’s supposed to be replaced after 5 years, it’s actually effective for up to 7

I'm 49 and I've just had my Mirena replaced with another one and I've started using eostrogel. My GP said it was a very popular way of delivering both hormones effectively. I got on really with with the mirena and the gel is easy to use.

@JudgeRindersMinder

Why are you habit it removed after only 4.5 years? Although it’s supposed to be replaced after 5 years, it’s actually effective for up to 7

My GP has told me that when using Mirena as part of HRT that it shouls be removed after 4 years - if just for contraception can stay in for 5 years..?

There seems to be so much conflicting advice out there - I suggested to my GP that maybe I should have another coil fitted but she is not keen at all - I too have got on very well with it and am worried chaging everything will cause problems..

so why don't you get a 2nd Mirena as HRT?

It's a very popular type of HRt- the Mirena and estrogen gel or an estrogen patch.

ask for it.

not sure why your GP 'isn't keen' - it's your choice, not hers! stand up for yourself :)

the lifespan of the mirena as part of hrt is 4 years.

ps

You also need to get off Premarin- it's outdated and no one prescribes that now. There are many more body identical types of estrogen around on the NHS.

@JinglingHellsBells

the lifespan of the mirena as part of hrt is 4 years.

Ah I see-I wasn’t aware of that, so thank you. Looks like I’ll be getting mine placed sooner rather than later too!