Advice: refusing mirena
Hi,
Im 25, from Germany and need some help.
I got my lap in August 2025, 2 endometriosis lesions got removed and I got the adenomyosis diagnosis.
Ever since I've been childfree and before even knowing about endo/adeno I wanted to get my uterus removed.
So in December I asked the surgeon for a hysterectomy.
He was okay with it, and didnt ask about kids or my partners opinion.
But he said he needs a psychological report because of my age and I should try Ryeqo (Mymfembree) and/or mirena first.
In february my slynd was used up and I decided to try Ryeqo, mostly because my therapist wont give me the report and I read some positive reviews.
The first weeks were good and I had no problems.
Still no bleeding but the side effects are heavy: painful headaches, severe depression, more anxiety, nightmares, hypervigilance, mood swings I cant control, back pain, loss of appetite and more.
My general practitioner prescribted me lorazepam for relieve.
So I decided to go to an psychiatrist for a report to get the hysterectomy.
The psychiatrist knew about adenomyosis which was good so I didnt had to explain that too.
I made an appointment by my surgeon after the psychiatrist appointment without the report (didnt get it in time and still havent got it in the mailbox)
I told the surgeon that I still wanna do it because I tried Ryeqo and it feels like hell.
He said without the report we cant make an appointment and still wanted to convience me to try slynd+ mirena.
And thats the problem: I dont want IUD
Mostly because Im autistic and dont like the idea of having something in my body.
But also because I tried 4 different pills (Stella, Slynd, Ryeqo, Endovelle) and I had problems with all of them.
Only Ryeqo stopped the bleeding, the other ones made me bleed for weeks/months and also had side effects like mood swings, nausea, anxiety..
He offered to insert the IUD under anesthesia, even after I said its my boundarie that I dont want it.
Its an missed oppurtunity to not try it, and maybe I can use slynd + mirena first and later only need mirena according to him.
I dont want to sacrifice another 6 months.
I feel like the hormones mess with my body, I mean I also have hashimotos, Ibs-c, adhd and c-ptsd. (And other health issues)
My symptoms are not that heavy and not daily but I got back pain, fatigue, painful sex, enlarged uterus, constipation, feeling like my bladder is always full, pelvic pain and painful endobelly that make me look pregnant everyday
He also said with my age its possible that I develop endometriosis lesions in my abdominal cavity, so maybe someone who had the operation done in young age can say something about it?
And because of trauma he doubt my ability to even make the decision which is ironic because most of my trauma is based on gaslighting, not being taken serious and other people questioning my decisions.
I mentioned my trauma because my therapist said that when I work through my trauma the pain and symptoms will be better.
But I think getting the operation could help me and my nervous system.
The question is: How can I make clear that I dont wanna try IUD?
My gynecologist accepts that I dont want mirena but doesnt know about my wish for hysterectomy because she thinks prescribing pills is all you can do.
And the surgeon (who is specialized in endometriosis) knows about the wish for hysterectomy but wants me to try mirena (I mean he said it after the operation in the hospital and the last two appointments)