For years the Mirena worked for me, but now I've started the menopause the pain has returned with vengeance. I think this is because my natural progesterone level has declined already. My GP is suggesting the mini pill on top of the Mirena. Has anyone tried this? Seems a bit drastic to take both at the same time and I worry about the risk at my age (50). At the same time I can't carry on with this much pain.