Thanks for your query.
MOST women would respond to Mirena
, but it depends on the cause for your excessive bleeding.
If controlled with Mirena, then yes, you wont have to take Primolut n
Mirena is more effective anyways.
With suppression of periods, you would not experience menopausal symptoms, as your ovarian function would be intact.
Precautionary antibiotics are not required, it is a very minor proecure.
The insertion and removal is quite easy and non painful.
The Previous perforation is quite unlucky, as it rarely happens.
You might opt for minor sedation during the procedure to keep you less anxious, else thousands of IUDs are daily insertion without any adverse events.