I'm interested to hear other folks' experience of "the change" which is still whispered (Les Dawson fashion!) in lots of settings. I had really heavy periods in my early fifties, my Doc suggested the Mirena coil. I went for it, fitting it was a bit uncomfortable, but it was like a miracle! Periods reduced and soon stopped completely and I was able to carry on with my very busy job which had been getting me down due to tiredness. At 56 my new lady dr said I would be over all that and coil (which needed replacing) was just removed. Bleeding occurred and I was sent to see specialist after tests who looked me with a glint in her eye and I said "I'm still ovulating aren't I?!" She said yes, you are, go get a coil re-fitted!! Luckily I had not fallen pregnant and the new coil was fitted (quite painful this time). It's still in situ and I'm almost 65! I believe it helped me get through the menopause with very few symptoms. A few "hotties" at night, never during the day and that's about it. Please pass this info about the Mirena to other women. I have and some it has helped, but some don't get on with it at all. But it's worth trying. Good luck!