Menopause before 40

[ladygoingGaga]

I was diagnosed as being post menopausal at 41, after a blood test after complaining about tiredness.
As I have a Mirena I was put on just the oestrogen gel, lowest dose.
This may sound like a silly question but as I didn’t really have many symptoms, how do I know it’s enough to offer protection from osteoporosis?

How do you know for sure with mirena?

What is your HRT dose?
Doesn't sound right. Young women need a high dose.

Is this your Gp making the decision?

Sorry. Adding Blood tests are not relevant when using a mirena. It skews the result. Goes against NICE guidelines.

How old is your mirena?

It will be fine to take extra oestrogen for a while - 3 month and repeat blood test to track any changes. And more how you feel if different.

Request a referral to menopause clinic if in doubt

I just presumed periods slowly stopping were a bonus of the Mirena
Apparently my blood results were conclusive.
Yes GP made decision, haven’t questioned it until now
What is a ‘normal dose’ for now 42 year old?

Quite shocked now at time Mirena was in for four years, now have a new one.

Didn’t know there was a menopause clinic

@ladygoingGagaThe Mirena may affect the blood test but equally it may not.

This is from NICE

The blood test measures a hormone called FSH (follicle‑stimulating hormone). FSH is found in higher levels in menopause. You should not be offered this test if you are taking a contraceptive containing oestrogen and progestogen or high‑dose progestogen because the contraceptive changes your natural FSH levels

The Mirena is not 'high dose progestogen' but it may well affect ovulation enough to skew the blood test.

There are very few menopause clinics to be honest. You need a referral if there are any in your area and the waiting time can be months.

If your only symptom was tiredness, that doesn't mean you are post menopause (with an inaccurate blood test.)

The only way to find out your real hormone status is to remove the Mirena and re-test a few months later.

The dose for osteoporosis prevention or treatment is 2 pumps of gel.