11 months ago I had multiple gynecological procedures to try to determine the cause of very heavy bleeding every month leading to just about needing iron infusions and making me feel generally horrible and pelvic pain that felt like I was being jabbed in the right ovary by an ice pick.
There were various issues that were treated but one of the causes was that I do not ovulate. I probably do every once in a while, but it's not routine. Best guesses are early menopause (so early the hormones were normal 18 months ago) and the effects of years of meds that cause issues with ovulation. fficNot ovulating means that a chemical imbalance develops and the uterine lining is not efficiently removed each month, leading to thickening that causes bleeding. In addition I had a polyp in my uterus. They thought I was probably have cysts on my ovary but in surgery nothing was visible although I did have cysts of fallopian tubes that were removed and might have been part of the pain.
But overall this was difficult as I couldn't just go on birth control pills which would have helped regulate cycles and stabilize hormones. However we already knew because I tried it once for a year that birth control pills make me moodier than I already am. The Mirena IUD is an excellent choice in this situation because it releases very low doses of progestin which keeps the uterine lining from building up. Most women have very light or no periods on it and it stays in for 5 years. It comes out very easily and you can try to get pregnant immediately.
We knew there might be some reaction when it was put it, but since we knew it could come out we tried. Nobody, and this decision included not only gynecologists at one of the top 5 hospitals for gynecology and one of my 2 doctors is one of the top gynecologists in the world, had experienced a bipolar patient unable ot tolerate it.
When I started operating out of control soon after it went in we didn't blame the Mirena. Other doctors were consulted and my psychiatrist and gynecologist kept in touch about how my mental illness had taken over everything. Eventually we decided it may need to come out. I saw the gyn. and she said she usually has a hunch what to do in a situation but in this case she didn't. She'd never seen anyone react but I have so much drug sensitivity and the fact that I had been suicidal for months made us decide to remove it. Removal is nothing. It feels weird because as it comes out you feel the top and bottom of your cervix but it doesn't hurt. The only pain I had was that they had to use an adult speculum and usually it's all about the smallest possible.
It wasn't the cause of everything. But it was making things worse, sort of taking what I was feeling and making it seem much worse to me and impairing my cognition so that it felt like suicide was a good decision, especially considering the frustration of not being able to remember anything or think through problems without help. The last time I was actively suicidal was just about the time it came out. I haven't gone so long with feeling suicidal in a year.
Even then it seemed like it was me. Until my psychiatrist had a new patient who had some of the same issues, beginning with the placement of a Mirena. So, this is my public service announcement: If you are bipolar, have a mirena and are less stable it DOES seem to effect some people badly.
Copyright 2006 www.masterofirony.blogspot.com