Would you recommend replacing the IUD or adding oral progesterone for a perimenopausal woman in her mid 40s with vasomotor symptoms whose Mirena IUD was placed 6 years ago?
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How would you provide endometrial protection when starting estrogen for VMS in a female in her 40s with a 6-year-old Mirena?
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1 Answer
Mednet MemberInvited Expert
Primary Care · University of Wisconsin
Answered on
This is a good question. The Mirena IUD should be effective for up to at least 10 years, so I wouldn't replace it after 6 years. In this scenario, you could prescribe a low-dose estrogen patch to help with the vasomotor symptoms. The Mirena IUD will provide endometrial protection, so you don't need ...
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