Menopause and the improvement I've had from it overall (just not the last 7 months but my therapist tells me that despite adding more psychosis these 7 months are better than prior episodes) is the best thing that happened to my bipolar. The Mirena was the worst thing that ever happened to it aside from maybe SSRIs. It shouldn't have caused problems but oh the problems it caused......removing it meant a hysterectomy (ovaries left so a speeded up but natural early menopause that started long before the hysterectomy) but that was way better than the horrible things I went through with the Mirena. Ugh. But at least other bipolar women at my hospital now are getting recognized to have Mirena issues sooner than they used to because it was so extreme for me.

I am nearly through menopause now as best as I can tell and I don't miss the hormones at all. I know someone who is afraid menopause will totally destabilize; for me it was the total opposite.