Backstory:
mirena removed 7 years ago as DH had had successful vasectomy - I’d had it in 4 years and found it great. I seem to recall some bleeding for a couple of weeks after insertion but it settled swiftly.
since then I’ve had no hormonal intervention of any kind - and also since then my DM has had oestrogen receptive breast cancer so have been advised to avoid this or at least to be careful considering any options relating to additional oestrogen myself.
very gradually my periods have got worse and worse. No pain whatsoever but heavy bleeding, headaches and then also anaemia symptoms which are not pleasant - hair loss including all the hair on my arms, thinning elsewhere, permanently cold, fatigued, foggy, breathless, pale, muscle twitches etc.
eventually the dr said I am indeed anaemic - ferritin level is 10 and I have been on a supplement for 6 weeks now and due to have repeat bloods next week. Symptoms have only marginally improved (hair loss is far less obvious) but on my period and just after I still feel horrendous - no energy whatsoever and beyond exhausted.
I have flooding and passing clots, changing several times during the night, I travel with work and trains and long meetings are really stressful.
I had a private scan yesterday under the instruction of a gynaecologist. The sonographer was very good (the scan was 40 minutes) and he explained during and after the scan that I have ‘quite common and not overly concerning’ adenomyosis and a polyp. He didn’t explain the degree of the adenomyosis or the size of the polyp but said the gynaecologist would do this at follow up which is next Thursday. I asked if either of those would prohibit the fitting of a new mirena, as that was the prior ‘likely path’ suggested by the gynae, and the sonographer said no - in all likelihood I would be offered a hysteroscopy where the gynaecologist would remove the polyp and insert the mirena at the same time.
has anyone had similar? I’m wondering about the after effects of this - I’m very lucky to have insurance and therefore hopefully some choices over when to do this. I’m away on holiday at the end of May and no way can I cope with periods like I have. On previous years I’ve taken Norethisterone but I don’t know if I can now as my periods are so irregular, I wouldn’t know when to start taking it. I’m wondering if I should ask to go on the progesterone only pill for 2 months and have the surgery and mirena when I get back? Or should I push to have it asap and hope it all calms down in the intervening time?
I was on day 2 of my period yesterday so had to have the scan whilst absolutely flooding - it was horrible. And today I’m so exhausted I just want to go to bed. I’m absolutely fed up of this and just want it over!