I’m 47, been on the Mirena coil and estrogen for 18 months, following anxiety and insomnia. It was good for the first 6 months or so. But over the last year, I’ve been increasingly depressed, anxious, irritable and have even had thoughts about not being here. Could it be the Mirena coil if I was ok on it to start with? I’m also going through difficult times in my marriage, so it’s hard to find which is the chicken and bunch is the egg. Should I try getting the coil out to see if it helps? What do I need to then ask the doctor to replace it with for progesterone?