Endometrial thickness on mirena

[HalfasleepChrisintheMorning]

I’m 48, with a big gynae history- endometriosis, polycystic ovaries, lots of gynae ops and one child but 3 pregnancies.
I had a mirena fitted under GA in November 2022. I think I still have my own cycle in the background but am on 1mg Sandrena for HRT peri symptoms.
I have light spotting most of the time. I mentioned this to the GP at my HRT review and she sent me for a scan. Scan has showed endometrial thickness 5.1mm, fibroids and an ovarian cyst. GP has fast track 2ww referred me to gynaecology.
Trying not to panic. Any experience?
I think I’ll need a hysteroscopy but I will only have it under GA. Are NHS ok with this? I’m in Bupa but GP said stay nhs due to it being a fast track referral?

Hi, am currently waiting for my Hysteroscopy date after abnormal bleeding. I had the appointment last week and could have had it done in clinic then but asked for GA. There was absolutely no problem with requesting it, they didn’t ask why just booked it in.

Hope you get yours done soon and the results are good.

Estrogen and progesterone levels can change unpredictably during perimenopause, leading to changes in the uterine lining and potentially causing spotting.

(I can certainly attest to that and in my case the bleeding became both heavy and constant. The problems I had with spotting were both due to PCOS and endometriosis. Scans also picked up a fibroid. I ended up having ablation surgery to remove the endometrial lining and it worked for me).