I would approach it with caution. I had early onset menopause and to control some issues I was having I had a Mirena placed. I had been sensitive to hormones in the pill but the Mirena is a teeny amount of hormone. I wound up suicidal for 9 months until we decided to pull it and see if it helped. When it did everyone was shocked but my gyn and pdoc found 2 more cases of the same issue in bipolar women in the next months. So now the big hospital I go to uses Mirenas very carefully with bipolar women.

I wound up with a hysterectomy and normally would have had my ovaries taken too as I had a great deal of pain believed to be from them (turned out to be something else that was removed). My gyn said there was no way that she would ever put me on hormone replacement and so I kept the ovaries and have gone through the rest of menopause without hormones.

I don't seem to have any more hormonal symptoms now and so I've made it without hormone replacement. For me it was the only choice. I'd be very cautious about hormones just because they can affect mood and disrupt stability.