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We're back with a bang for Season 3, diving straight into a candid, somewhat eye-watering discussion about an unexpected Mirena coil mishap that led to fascinating discoveries about hormone replacement therapy after 50.

Kate shares her recent experience of finding her IUD had become dislodged, requiring immediate removal and creating an urgent need for alternative progesterone. This led to a surprising conversation with her healthcare provider about why some women – particularly those taking specific medications – may need to continue using the Mirena coil well beyond the typical age recommendations. The episode explores the critical balance between oestrogen and progesterone, explaining why this balance matters so much for women's health and wellbeing during perimenopause and beyond.

The heart of this episode centers on medication interactions that many women may not realize affect their hormone therapy. Kate provides valuable insights into which common medications – including anti-epileptics, certain antibiotics, and even popular weight loss injections like Ozempic and Wegovy – can interfere with progesterone absorption. For women taking these medications, the Mirena coil might be the safest option as it delivers progesterone directly to the uterus, bypassing the digestive system where many interactions occur.

Throughout the conversation, Kate emphasizes the importance of transparency with healthcare providers about all medications, including those prescribed privately. This honesty enables better care and more appropriate treatment recommendations. The discussion serves as a powerful reminder that perimenopause management is highly individual, requiring personalized approaches rather than one-size-fits-all solutions.

Tune in next week for exciting news about female testosterone and developments that could benefit women across the UK. Want more support? Join our free perimenopause group or our membership program for additional resources, community, and guidance. Remember, perimenopause doesn't have to be complicated – we're here to help you navigate it with confidence and clarity.

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