Hi. I am 48 and I believe in perimenopause. Been offered the Mirena coil and a gel as I have heavy periods once every six months and other symptoms such as brain fog, tiredness etc. I already gained 50 lbs in 2 years and I am slowly and painfully losing them at a rate of around 1 lb a week. I am worried that with the Mirena coil I will gain even more weight. What are your experiences? (For reference I eat around 1200-1500 calories a day, sometimes less). I am not hungry in general. Thanks

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I am 48 years old. I noticed at the beginning of the year that my perimenopause symptoms were causing joint pain, ultra sensitive skin, brain fog, low energy, no desire in having sex, slight depression. I went to my general practitioner, who is older and he tested me and found my thyroid was low, started me on thyroid meds, then gave me estrogen/Premarin, he then gave me 2 rounds of steroids to help with the inflammation, gave me an anti inflammatory for 2 months, my joint pain is gone, last he started me on testosterone shots for energy and sex drive, helped with weightloss too. I am also on gp1 med/ tirzepatide to help lose the weight I put on out of nowhere. This all started in Feb/2025, it’s now August/2025 and I have slowly regaining my energy again. Everyone I ask in my circle of older women, they wing it with no hormones. I can’t do it. I still have too many years ahead to work and it’s was too difficult to function. Go to your doctor and demand help. Or get a new one. My gynecologist was a young girl and was no help.

I was taking vitamins and supplements and nothing helped until my doctor stepped in to intervene. Too many things are caused by our loss of hormones. They can help with that and your insurance will cover it. Oprah had a great episode where she talks about all the things we can do to get relief.

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I’ve had the Mirena IUD for almost four years, and my only regret was not getting it sooner. It has had zero impact on my weight, and I am 44.

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