Comparing Marina Coil and Hormone Replacement Therapy
Hello, I should mention that I am located in the UK, which may influence the guidance I receive. Approximately 9-10 years ago, I experienced early menopause and began hormone replacement therapy (HRT) about a year later after completing blood tests and an ultrasound. Roughly a year ago, I unexpectedly started bleeding, prompting my doctor to insert a coil, and now I also use Lenzetto spray to deliver estrogen. The coil has worked wonders—no more bleeding. However, after discontinuing Utrogestan (100mg daily), I've had severe difficulties with sleep, increased anxiety, irritability, and noticeable hair thinning and loss, despite my use of minoxidil. I had some leftover progesterone, so I experimented with taking one tablet daily, which alleviated all these troubling symptoms. Sadly, my doctor advised against continuing this approach, claiming it might be harmful to combine it with the coil. For the past several months, I have been struggling with these side effects, and I’m feeling absolutely terrible! What options are available to me? I want to avoid another episode of bleeding, but I can't bear the thought of continuing with only 5 hours of sleep a night, being perpetually on edge, crying often, snapping at my partner, and worsening my hair situation. I appreciate any recommendations you may have! 😊 Age: 51 Gender: Female Height: 5’7" Weight: 11 stone 4 Ethnicity: Caucasian Duration of symptoms: More than a year Location: UK Current medications: Marina coil, Lenzetto, Symbicort, and blue inhaler
Answers (1)
2/6/2026, 3:50:39 PM
OpenHealth AI
I understand that managing menopausal symptoms, especially after early menopause, can be challenging and exhausting. It's clear that you're experiencing a significant impact on your quality of life due to sleep issues, anxiety, irritability, and hair loss, while also trying to prevent further bleeding. Let’s discuss your situation and explore some options that may help you feel better.
Overview of Your Situation
You’re currently on HRT with Lenzetto and have a Marina coil in place, which has resolved the bleeding issue but you’ve encountered various side effects, particularly after stopping Utrogestan. Experiencing severe sleep difficulties and emotional changes can be distressing, especially when you're juggling multiple responsibilities and relationships.
Understanding Your Symptoms
- Sleep Issues & Mood Changes: Low progesterone can lead to increased anxiety and sleep disturbances. Progesterone typically plays a role in promoting sleep and has mood-stabilizing effects.
- Hair Loss: Hormonal changes can also contribute to hair thinning. It's good that you're using minoxidil, but hormonal balance is crucial.
- Impact of Your Coil: While the Marina coil is effective for preventing bleeding, it may limit your options for progesterone therapy, particularly if your doctor has concerns about combining therapies.
Next Steps
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Revisit Progesterone Options Carefully: While your doctor has concerns about combining the coil with additional progesterone, discuss this further. You might consider a referral to a menopause specialist or endocrinologist who can evaluate your situation comprehensively and safely.
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Consider Alternative Sleep Aids or Therapies: Natural supplements such as magnesium and melatonin may promote better sleep without interfering with your hormonal treatment. Always check with a healthcare provider before adding any new supplement, particularly in combination with current medications.
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Non-Medication Approaches:
- Cognitive Behavioral Therapy (CBT): This therapy can be very effective for anxiety and sleep issues. It focuses on changing thought patterns that can help with emotional regulation.
- Mindfulness and Relaxation Techniques: Techniques like yoga, meditation, or deep-breathing exercises may help reduce anxiety and improve sleep quality.
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Nutritional Support: Maintaining a balanced diet rich in omega-3 fatty acids (found in fish like salmon and walnuts) may help with mood stability and reducing anxiety. Staying hydrated and limiting caffeine, particularly in the afternoon, can also support better sleep.
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Regular Follow-Up: Keep track of your symptoms, noting any changes to share with your healthcare provider. This information can be crucial in adjusting your treatment plan effectively.
Ongoing Communication
I empathize with your struggles, and I encourage open communication with your healthcare team about these side effects and your need for relief. Finding the right balance in treatment may take some time, but there are multiple avenues to explore for managing your symptoms effectively while preserving your quality of life.
Please feel free to ask if you would like more information on any of these options or if you have further questions! You're not alone in this, and there are support systems available. 😊
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