I had a lot of trouble with that until I finally had a hysterectomy (for other reasons) and since my fallopian tubes went the blood supply to my ovaries was reduced and early menopause at the time has turned to almost done/done with hormonal shifts. They said it would take about 5 years to kill my ovaries. It's been almost 3 and there is a noticeable difference in my bipolar; it has been less frequent and some episodes even responded to early treatment.

In contrast I had the Mirena IUD placed about a year before my hysterectomy. It releases tiny amounts of hormones. We knew I was sensitive to hormones but this seemed safe. It was not. I spent 9 months on it in a terrible, intense episode and finally had it removed "just to see" since there was no evidence of this. Within days I was improving. After that in just a couple of weeks my psychiatrist and Gyn surgeon found 2-3 other women who were bipolar and affected by the Mirena.

So for me menopause has been great. Before then, ugh. I even tried the pill of a year so I'd know when I was cranky from PMS instead of guessing with my irregular cycle. They made me sick and that's about all they did.