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I have PCOS, and was experiencing dysplasia of the endometrium. ...

Posted at 1:57 PM on Jan 02, 2009 by terricat, #37662
I have PCOS, and was experiencing dysplasia of the endometrium. After some search, a doctor recommended the Mirena. This was November of 2008. The installation should have been a clue of things to come. I have never had children, and had a tipped uterus, and as a result they had to use the clamps that look like needle nose pliers to grab my cervix, and after 45 minutes of stuffing, got it in. It was excruciating. I was working out 6 days a week, 2 1/2 hours a day, and eating South Beach Phase 2- and had lost 80 lbs and had maintained for 1 year. I asked if it would in any way cause weight gain, and was told it would not. Within the first month my diet/exercise regimen failed, and despite working out 7 days a week and resuming Phase 1, I was gaining 10 lbs a month- which my Doctor would not discuss with me except to dismiss it. To make a long story short, after life threatening edema and bleeding 22 or 23 days straight and with my now discovered sensitivity to progesterone, I required a total abdominal hysterectomy to remove an enlarged, boggy, and fibroid riddled uterus. I am doing 200% better now, and I am sure there are some women the Mirena works well for, but I was not one of them, and I feel the Mirena actually endangered my life (that and the arrogant doctor who inserted it and told me to be patient. I had it in from 11/2005 to 7/2007- is that time enough?) Please, please,please. If something does not feel right, do not NO for an answer. I did not want children so I was okay with losing the ability to bear children, but having a TAH at 38 is a life change that most younger women would not want. Would I have had to have it anyway? Perhaps. But I could have been in a position to be navigator in my care rather than reactive as I was forced to be.
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Reply 10 months ago on Jan 02, 2009 by red1964, #15667

I had the Mirena for a mere 5 months and had terrible side effects although I did not have to endure surgery, as you did. What an ordeal you have been through. I was a few years older than you, having had the Mirena at 43. Had it removed and within 3 months started and FINISHED menopause...what a shock. I had trouble with even low dose birth control pills, which I tried prior to the Mirena. In actuality, the low dose refers to the estrogen, not the progestin component. For me, the amount of progestin in the Mirena is what wreaked havoc on my body....it certainly did NOT stay local, as the manufacturer claims! I am now on HRT, a bio-identical estrogen patch and bio-identical progesterone. I am tolerating both well, having been on them for 8 months now (have to have the estrogen to protect my heart and bones until I am of a more normal menopause age and the progesterone is needed to protect against endometrial cancer). The reason I wanted to reply to your post is that I wanted to pass along my experience, seeing as you are 38 and have had a TAH....if you should need HRT, do not be afraid to try progesterone in conjunction with your estrogen....you may be like me and negatively affected by progestin, which is synthetic, but may be ok with progesterone (I take Prometrium)....there is a difference. Good luck and take care. I wish you the best!

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Reply 10 months ago on Jan 04, 2009 by terricat, #15717

Thank you so much for sharing your experience! I am seeing an endocrinologist at the end of the month, and I am hoping we can have a dialogue and agree on the best treatment for me. I am adversely sensitive to Progestin as well, but I am very willing to try HRT if need dictates. Thank you so much again!

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