Hi Im 53yo. Had a Mirena IUD for the last 10 years. Removed it Oct 1 2015. Due to my age, the doctor didn't want me to insert another one, or any hormones for that matter. 7 weeks after removal, I had a very heavy period. Then 2 more periods 26 days apart.

I'm sexually active so I went back to ob/gyn for a birth control discussion. They suggested a blood test to check my level of fertility. Last period was Jan 9, blood test was Jan 28.

My FSH was 37 my Estradiol was 151 and my Progesterone was 1.2. All other metabolic / CBC showed numbers in a normal range. I have not had a period since my last one Jan 9. This is Feb 14. Now I am concerned. Am I still fertile? Is menopause around the corner for me? What type of BC would you recommend for me at this point?

Your form of birth control (if any) is a personal choice based on your body, your beliefs and the social norms where you live. (we are an international site)

If you are having periods, then pregnancy is possible.

No birth control is 100 percent, the IUD is one of the more effective methods and the choice my wife does.

Despite providing good information here, it isn't really enough, and you should see the same doctor. Leave a message about your late period so they can decide how soon. Your periods are bound to be irregular for a while, just from the IUD removal, but for a multitude of possible reasons. Even though I have a feeling that you aren't pregnant just because of the odds at 53, what's the point in 1,000 people guessing? My periods stopped totally at age 50. But of course women vary widely.

Did they discuss your fertility with you after your tests? The simple answer is that removing birth control (especially after a long period of time) will cause a change in your cycle like your experiencing. It's also possible that perimenopause is the culprit. That said, as long as you're having a period, assume you are fertile unless a doctor tells you otherwise. There are too many factors in play for us to venture a guess, so really, stay in touch with your physician to get the best answers.