The Mirena Coil & Menopause Symptoms

At 46, using the Mirena coil since 36, one might wonder if menopause has begun, especially in the absence of typical symptoms like hot flashes or vaginal dryness. It's a common query among women in their perimenopausal years, seeking clarity on their reproductive health status.

Expert Insight: Dr. Nagat's Advice

Dr. Nagat, an NSGP specializing in women's health, sheds light on this dilemma. For women over 45, the presence of menopause is often assessed symptomatically rather than through blood tests. This is due to hormonal contraception like the Mirena coil or the mini pill potentially masking the cessation of periods, a key menopause indicator.

Symptom Tracking & Diagnosis

The suggestion to use the free Balance app or the Greene Climacteric Scale offers a modern approach to understanding personal symptoms. Discussing these findings with your doctor can help confirm if you're navigating through menopause.

Testing for Younger Women

Women under 45 facing similar uncertainties, especially those not experiencing periods due to hormonal contraception, can undergo an FSH blood test, possibly repeated six weeks apart, for a more definitive answer.

Beyond Menopause: Comprehensive Health Checks

Dr. Nagat emphasizes the importance of ruling out other conditions that could mimic menopausal symptoms. Tests for thyroid function, liver health, anemia, and kidney function may also be recommended, ensuring a holistic health evaluation.