I’m hoping for some perspectives on whether I should try a mirena (or other hormonal) coil for my heavy periods. I’m 43, have one child and my ferritin is back in single figures again and my Hb is low too. I think I might have adenomyosis (ultrasounds show a ‘bulky uterus’ - flattering!) but my Drs are not interested in the cause of the heavy bleeding, they just keep pushing a coil. I’m now taking iron tablets and taking tranexamic acid during my period to reduce the bleeding. This worked last time but a longer term solution would be nice.
I don’t feel ready for a hysterectomy or ablation (very unlikely to want more children but complicated feelings due to difficult fertility history). I’ve read a lot of horror stories about the coil and my interactions with women’s health services in the NHS haven’t been reassuring.
Currently I have bleeding/brown discharge for 3 out of 4 weeks. My periods are very heavy - super plus tampon with two pairs of period pants at night, flooding in the day, pain which stops me sleeping for a couple of nights even after heavy pain meds.
But I’m worried about a coil for a few reasons. My mood - I have general anxiety disorder. My already pretty crap sex drive (although the anaemia and constant bleeding don’t help with that currently tbf) and could it actually make the bleeding worse/more continuous. Finally, I don’t trust that the NHS would remove it if it didn’t settle down after giving it a good go.
Sorry this is long (trying to get all the info in) but I’d really appreciate anyone’s perspective on this.