Help end medical misogyny. Sign our petition.

Help end medical misogyny.
Sign our petition.

Sign the petition

Please or to access all these features

Menopause

Mumsnet doesn't verify the qualifications of users. If you have medical concerns, please consult a healthcare professional.

Hysteroscopy with Mirena in situ.

9 replies

NattyKnitter116 · 28/05/2026 18:22

Last time I had one of these a year go on the NHS they did it with the Mirena in situ. I have also had numerous TV scans with Mirena in situ with no comment ever made.
Since then I have had some minor spotting and went to see someone under private health insurance. She did a TV scan and constantly complained with it was hard to estimate the uterine lining thickness due to the Mirena being in the way. She wants to do a hysteroscopy and remove my Mirena then the reinsert it afterwards.
ill be honest im really conflicted about it as i have passed out from cervical shock in the past when i had a Mirena inserted pre menopause, and the last hysteroscopy I had whilst not as bad as I thought would be efficient in terms of them dealing with my cervix. Plus the gynae doing it was clearly quite senior and competent.
im just not feeling confident about this current gynae, after her remarks about the Mirena. Does anyone have any knowledge about this? I guess what I’m wondering is whether she wants to remove it because she isn’t confidant about doing it while the Mirena is in situ. I looked her up and she only qualified in 2018, which seems like no time as all to me. I wonder if I am being unreasonable to want someone with more experience who is happy to do this with the Mirena and possibly decide the hysteroscopy isn’t necessary as my lining will have thinned (she told me to cut my oestrogen in half and has prescribed another type which is apparently more gentle).
im not normally like this with medics but she didn’t make me feel confidant.

OP posts:
JinglingSpringbells · 28/05/2026 18:48

I'd find a different consultant, who is able to make a better judgement with a Mirena in situ. There is a huge difference in expertise of consultants who do this.

If she qualified 7 years ago is she actually a consultant or a more junior doctor?

Gardeningsideeffects · 29/05/2026 14:37

Odd. I had my hysteroscopy and several TVSs with a mirena in. I would try a new gynae.

Private are good about this stuff. I transferred gynae after an upsetting experience with one. BUPA were fine.

Still salty about the nurse who dislodged my coil when she did a smear test..

NattyKnitter116 · 29/05/2026 15:52

JinglingSpringbells · 28/05/2026 18:48

I'd find a different consultant, who is able to make a better judgement with a Mirena in situ. There is a huge difference in expertise of consultants who do this.

If she qualified 7 years ago is she actually a consultant or a more junior doctor?

She qualified in the Middle East in 1998 then got her MRCOG in 2018 so she’s not inexperienced. Maybe this approach is more common abroad than here?

OP posts:
Gardeningsideeffects · 29/05/2026 15:53

Can you swap gynae? Does it have to be a woman - I appreciate they are harder to find.

NattyKnitter116 · 29/05/2026 15:54

Gardeningsideeffects · 29/05/2026 14:37

Odd. I had my hysteroscopy and several TVSs with a mirena in. I would try a new gynae.

Private are good about this stuff. I transferred gynae after an upsetting experience with one. BUPA were fine.

Still salty about the nurse who dislodged my coil when she did a smear test..

Thanks for your reply. I think im
going to cancel and then opt for a TVS with another gynae in 3 months once the new HRT has settled.

OP posts:
JinglingSpringbells · 29/05/2026 15:56

Are you on a new form of HRT?

Any change of type or dose needs 3 months to settle.

Is there some history as to why you've had numerous scans?

JinglingSpringbells · 29/05/2026 15:57

NattyKnitter116 · 29/05/2026 15:52

She qualified in the Middle East in 1998 then got her MRCOG in 2018 so she’s not inexperienced. Maybe this approach is more common abroad than here?

No, I'd say she was incompetent.

NattyKnitter116 · 29/05/2026 16:15

Gardeningsideeffects · 29/05/2026 15:53

Can you swap gynae? Does it have to be a woman - I appreciate they are harder to find.

Not bothered about them being female. Yes I can swap as private insurance.

OP posts:
NattyKnitter116 · 29/05/2026 16:21

JinglingSpringbells · 29/05/2026 15:56

Are you on a new form of HRT?

Any change of type or dose needs 3 months to settle.

Is there some history as to why you've had numerous scans?

It took me a while to settle to avoid bleeding (proliferative uterus lining apparently!).
number of scans is due to post meno and sister had uterine cancer (but she had endometriosis for 30+ years).
same consultant has recommended I switch to lenzetto after cutting my current dose of two *sandrena half.

I’m happy to try it as apparently it’s much quicker to apply as spray rather than gel.

OP posts:
New posts on this thread. Refresh page