Anonymous wrote:I am almost 50. I have a Mirena and I am on lexapro. I feel these 2 things have kept my mood somewhat steady. I have not had PMS or a period in 10 years bc of the Mirena. I am in pretty good shape - have been doing pilates for 15 years, yoga, walks, etc. I can sleep fine. Very minor hot flashes. Sex drive is lower but whatever. I don't feel the need for HRT for physical or emotional reasons at this point.
Honestly, my main concern about peri/meno is losing my looks, hair, face, muscle tone, etc. Does HRT give any advantage in those things and does not doing it accelerate anything?
Mirena regulates progesterone, which helps with periods, etc. Estrogen affects all the things you listed, and mirena doesn’t give you estrogen.