Hi. Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.
Are you experiencing any menopausal symptoms? Mood changes, missing or irregular periods etc.?
no i haven't had periods with the Mirena and have had no symptoms, i didn't realise that it had been 6 years since having it fitted, but when i went for a routine smear test i asked about it.
The Mirena should be replaced after every 5 years but some Obs/Gyn keep the Mirena for longer times and avoid the need to replace the Mirena right before menopause.
This is because, the manufacturer claims that the IUD depletes its hormonal action in 5 years.
Since, near menopause there is little to no chance of getting pregnant or need for birth control, that is why the Obs/Gyn did not replace it.
Are you there?
yes, i'm here . but where does it give that advice as i've checked the full prescribing details for the Mirena on their website and it says it should be replaced or removed after 5 years
That is what I am saying, it should be replaced according to what the manufacturer recommends and this is what most practitioners are doing, however, your Obs/Gyn is trusting her clinical experience with the device and thinks that this device will get you through your menopause. I don't necessarily agree with this approach since menopause can occur between 45 to 55 years of age and it is not necessary that you hit menopause at 50.
So, you will need to suggest to your Obs/Gyn that you need to have this replaced.
This is to avoid risking any complications or unwanted pregnancy with the time expired IUD.
ok thank you for your help
It was a pleasure.
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