15) Using IUC Near Menopause (Talking IUC with Dr. D) 

I am 49 years old and onto my 3rd Mirena. It was the best contraception choice for me and I haven't looked back. I suspect I'm perimenopausal due to the usual signs but I haven't had a period for over a year. Thanks Dr for showing me the way forward for the next few years for me and that I can get 7 years from my current Mirena. great news!

Dr. D, I want to thank you. I’m 46 and got my Mirena inserted yesterday for treatment of heavy periods that lead to iron deficiency anemia. I was nervous about the insertion but it was no big deal. It just felt like one deep cramp and then it was over. Literally five seconds or less! Your videos helped me know what to expect and to not be so nervous. I’m hoping to be one of those women who doesn’t bleed at all with the Mirena. Thank you so much!

Thank you so very much for providing such thorough information. I am 52 years old and my doctor has suggested this and unfortunately did not answer the many questions that I have. I know in medicine today providers are very busy and cannot take the time that they used to but not having those questions answered caused me to not be able to make a decision. So this video provided me with everything that I needed and I am now watching multiple videos on your RU-vid. I’m so thankful that I found you!!!

Dear Dr. D, Thank you for all your effort to explain these topics. Am sure they are a complete answer to the most common doubts we women face but don't know where and how to get them cleared. Am 46 in peri menopause phase and have been advised for Mirena to treat recurring uterine polyps, which cause heavy bleeding. This video has really cleared my doubts. I admire your patience and motivation to create these videos with such clarity and depth. Thank you again! I have referred your videos to my family and friends who will sure benefit too.

Hi love your channel, I was diagnosed with pcos in my early 20s and the mirena has been amazing in helping with irregular periods etc. I am now 56 and blood work shows I am postmenopausal. I am coming up to the 7 year mark with mirena and will have it removed. I am using vaginal estrogen which I love and whilst I know I do not need progesterone with this, I was wondering how will my body react without the mirena and should I have it replaced with a new one. Thank you for everything you do ❤

Thank you so much for your wonderfully informative videos. I'm 55 1/2 and just had a Mirena IUD implanted a few days ago for uterine protection to be used in conjunction with estradiol gel or patches for hot flashes and for protective aspects. Last period was 4 months ago, but I have been having hot flashes off and on for 3 years. Tried bio identical hormones (progesterone capsules and estradiol face cream) but after 6 months, it made my IBS so much worse I had to stop using HRT for a year. Recently tried Duavive for 3 months but it made me very gassy and constipated along with right rib pain (gallbladder?) which was remedied by drinking apple cider vinegar and lemon juice in water to help make up for lack of bile production (I'm assuming?). As I have significant bone loss, I'm now considering using HRT indefinitely to 1) reduce bone loss, 2) reduce risk of Alzheimer's , 3) reduce heart attack risk and 4) alleviate severe joint pain as estrogen helps lubricate joints, so I've learned. I'm hoping the Mirena IUD option will spare me the unpleasant gastro side effects that progesterone has caused me in the past as it will no longer be circulating throughout my entire body. Best of luck to anyone trying to navigate this difficult stage of life and finding the right HRT solution while managing IBS (they don't play nicely together for some of us).

Thank you for the great information, you answered a bunch of questions I had.

I’m 41 years old. My mom at the age of 43 was over period. Almost two months ago I changed my method from pills to copper IUD. It so weird because as soon I stopped the pills and got the copper IUD I have been fellings some flashes that just come a few seconds no more than a minute and then they are over. Next week I m going to have two months from the paragad insertion while I was on my period and since that day, I haven’t seen my period again. Contrary what they used to say my period has stopped with a copper IUD. I have had some spotting yes but really light. At this point I’m thinking seriously I have started the menopause. I m just giving some more weeks of adjustment. Maybe 4 more and then I have to consult this. I would like a video about experience menopause with copper IUD. Thank you

Is it common for periods to start up again after no bleeding for 7 months after having the mirena coil fitted? I never checked the strings as I didn’t want to become obsessed with checking but when I have checked I cannot feel any. I was never asked back to make sure it was placed correctly I am using the coil along with oestrogel for my HRT luckily my husband has had a vasectomy, so I didn’t need it for birth control just migraines and heavy bleeding. If it has fallen out I don’t think I would have another fitted because it’s constantly a worry now and don’t think I could go through it again

Thank you for this article. Very helpful

I’m in perimenopause but also have no thyroid. I am on hypothyroid Rx for the rest of my life. I’ve found that while on the pill for 6 months…my thyroid symptoms are becoming bad agin! Because the pill lessened the effects of my Rx. So, I HAVE to have the copper iud. I’m 47 soon. So, I feel I’m too you to not be intimate with my husband, but (in my personal opinion) I do not want to start over raising children. Please do a video where you talk about the copper iud for peri menopausal women and if those effects are any different. Ty

This video lifted my spirits. I am 49 i am anemic 10.5 iron and 5 saturation. My doctor recommend this iud for me to assist in reducing my mental cycle to eventually having it not come my cycle started to skip after my dad passed a year ago. Now it comes every 3 to 5 months. I could use a little extra progesterone. I have hot flashes, night sweats, heart palpitations. My cycle last 6 days with two heavy days. I am concerned of hair growth in areas i dont want and gaining weight this would be a nightmare. I am going to move forward with it. Thank you.

My mother had the most horrific menopause iv ever seen she was the demon from hell for 15 years I have a true and real fear of being like that my aunt on the other had didn’t even know that a had reached menopause but b had already passed it with zero issues she swears it because she had the merina coil in throughout so even though I have my tubes tied at 44 I went and got a coil only time will tell if I’m going to take after my mother or aunt as I’m already delicate mentally and wouldn’t survive what she went through

Dr. D, I am 59 yrs old and have been taking oral progestin/estrogen and would like to know if you would recommend that I get the IUD Kyleena and get off of the oral progestin? I would like to know if I may be able to continue the IUD for the rest of my life as long as I want to continue taking HRT? Thank you for all that you do 😊

I have iud almost 5 years . This year will remove because of end of 5th year. I am 41 . 1 year ago I got heavy period for about 3 months. Then stopped . Now I got light period for about 3 months. It's means do I have a meanapouse ? Thanks

Yes, it really help me not to get pregnant.. I'm 49 years old and I have 4 children and 7 year old son, my youngest..

I am 64, very healthy and have been taking Premarin and Provera very happily for 10 years . I have not had any children. My doctor has advised a Mirena coil and estrogen gel to rub on my arms which I am happy to do. I have a retroverted uterus and wondered whether insertion will more difficult and painful. I have also been advised to insert Ovestrin ( Estrial) 1mg cream vaginally 2 weeks before insertion. I was wondering why I need to do that is it because I am older?

Hello Dr D., I am 47 years old and my mensies have become irregular, after they came like clockwork for years. Sometimes I skip them, after which they are quite heavy and other times they come very lightly every week or so. They're not specifically painful, but uncomfortable, especially in the summer. So, I'm going to have the Mirena IUD placed for sure! My GP says that there can be additional estrogen administered as to completely get rid of any blood loss. Unfortunately, as I understand, I cannot have that, because I've had a heart attack, angioplasty and a double CABG earlier this year (May). In that respect, I do worry about the cortisol levels in the IUD as I need to reduce stress as much as possible. Is it a risk for me? Thank you!

Hello. I got my second Mirena in Nov 2018 and had irregular periods. I was 48 in 2018. Then from Jan 2020 to early April 2022 I had no period at all and now I am spotting. This is worrisome to me as I had some periods then nothing and now I have been spotting for 6 weeks now. I will be talking to my doctor ASAP, but sometimes she downplays things because I have the Mirena and that worries me more. Ottawa ON 🇨🇦

Hello, you suggested I watch this video from a previous post I made and I did. I’m having a heavy period which makes me believe I’ve lost the hormones from my Mirena. I’m 51 years old and have had the Mirena in for 6 years and 3 months. When I get it removed, what would you suggest I use for birth control safe for my age as I sure don’t want to become pregnant at 51 (especially since there’s a chance due to me having heavy periods). Thank you!

Thank you

Hi im 48, havin symptoms of perimenapuse ect, blood showed id bit low estogen , my cycles are every 30 days depends ive pcos. Was told would not get hrt over my weight plus i still have periods. So my choise from dr was if i was to take estogen patch i have to put in merina coil is this reason like????

I am 51 and my dr has thankfully given me hrt, at the mo i take a progesterone tab (beginning with a u, i cant remember its name) every night regardless, and 2 pumps of gel. My period is still regular. She wants me to have the coil. Will my periods stop if i do? I dont want them too, but the tablet is making me depressed, tearful etc. Thank you.

Heavy blood flow and the pill is associated with endometriosis cancer but not copper IUD?

Dr. D. Unfortunately I'm watching this video after removing my mirena Coil yesterday. If only I had seen your video before I may have left it in to nearer the 7yr deadline for the ongoing progesterone benefit. I had mirena put in approx 5 1/2 years ago for heavy bleeding which I now know to have been a sign of me being peri menopausal which was later confirmed by FSH blood test. My GP recommended after Coil removed I can have FSH blood test followed by another one 6 weeks later to confirm if I have reached menopause. My questions are (1) can I rely on the blood tests alone to confirm I've reached menopause or do I also need the one year free cycle (2) you mentioned another blood test along with FSH - do I undergo both or is just one okay, and (3) what recommended hormones should I be taking going forward in my menopause journey? By the way I'm 55 and 56 next month.

Are hormone IUDs safe for women over 40? There seems to be high risks with Birth control pills for this age group so how is this different for IUDs?

Why are so many OB/GYN's talking about Merena the most? Whats wrong with Paraguard?

I have read about a lot of people having heavy bleeding after removal. How common is this? Should I expect any bleeding if my IUD is removed once I am menopausal? Thank you

I’m now 28 how many years I can use Merina iud ?

Hi I am 48 years old, on the 28 day contraceptive pill, do not have heavy bleeding nor pain, I have not had children and am peri-menopausal. I do however bleed for about 2-3 weeks of every month, could having the Merina help with this maybe? Also, how does the level of progesterone in the Merina compare to that of the contraceptive pill? Many thanks

My wife is being using Mirena for about 15 years, she is 42 know. My cuestión is if she can still using Mirena or is it recomienden to stop and rest for a period of time? Is there any risk if for her if she decide re used the Mirena?

I recieved my Mirena when I was 43 because of heavy and painful menstrual cycles. It am now at the 5 year mark. Is it okay to use 7 years or do i need to remove?

I am 49 peri menopause my doctor prescribed me Mirena coil for heavy periods and part of progesterone as well as evorel patch! I had coil removed today and not sure hows its gonna be. My GP was not available to talk to.

Hi, what about the risks of getting breast cancer with the IUD?

Does it make menopause easier to deal with for some ladies ?

So for women 45 how likely to get pregnant with iud marina in place ?

My period started at 9 years old...im having hot flashes and night sweats.

Where are my manners?, sorry. Hi Dr. Harris.

I have one, I’m almost 50, and I’m going completely nuts, lol, so I’m guessing it must be menopause.