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Anon asked...

Hysterectomy or coil?

I have been suffering from continuously heavy periods for the last 12 months. I am 43 and asked my GP about a hysterectomy and they are trying to push me into having a coil fitted with hormones, as I do not want any more children I feel this would be a better solution, can you help me with this?

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The answer

Sorry to hear of your experience with heavy menstrual bleeding, one of several treatments for heavy menstrual bleeding is levonorgestrel intrauterine device (Mirena/ Jaydess). Evidence based data suggests that Mirena is relatively effective compared other methods of treating heavy menstrual bleeding.

In women of fertile age the Mirena device is inserted into the uterine cavity within seven days of the onset of menstruation. It can be replaced by a new system at any time of the cycle. Mirena is effective for 5 years following the insertion to treat heavy menstrual bleeding therefore it is advisable to remove or re-insert a new device after that period. 

If pregnancy is not desired, removal should be carried out during the first few days after the onset of the woman's menstruation. Otherwise contraception has to be ensured with other methods (e.g. condoms) starting at least 7 days before the removal. Side effects are likely to be more common during the first months after the insertion, and subside during prolonged use. Very common undesirable effects (occurring in more than 10% of users) include uterine/vaginal bleeding including spotting, light or infrequent menstrual periods, an abnormal absence of menstruation.

Answered by the Health at Hand nurses  

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