I'm really struggling today following a consultation with my gynaecologist. I've been desperate for this appointment as my pain and bloating is the worst it's ever been, and nothing I've tried with my pain specialist has worked so far.
The appointment itself went well, but I came away realising that because I have perimenopause symptoms this makes treatment so much more complex.
My latest ultrasound shows endo hasn't come back (good) but my adeno is getting worse and I now have fibroids in my uterus which itself is very enlarged. We were discussing having my Mirena out and going on Dienogest and having another MRI to consider surgical options until I mentioned I'm having perimenopause symptoms. I came away having agreed to try full HRT (i.e. oestrogen to complement the Mirena) to see whether that helps my perimenopause symptoms, which probably won't do much for my pain / bloating. Dienogest is not an option now and I can't have my Mirena removed given I need that for the progesterone, although there's a chance my body is reacting to that by bloating. If HRT doesn't help me enough, then I'll have another MRI and discuss surgery again.
I understand that we need to try one thing at a time and there's no guarantee any of it will work, but then I got the letter detailing our consultation, which said "I am pleased to hear that your pain is now almost manageable". One of the first things I said was the pain was worse than it ever has been so I was pretty distraught to have that documented. I'm sure it was unintentional but it's not the first time something like this has happened (and not the first time I've given feedback). I just find things like this have a huge impact when you're already in a super fragile state.