Kyleena or Mirena in perimenopause?

[WhereAreWeNow]

My GP has suggested I get a mirena coil and estrogen to deal with peri symptoms. She's referred me to sexual health clinic and I've got an appointment in a fortnight. I am very nervous and may yet chicken out.
The clinic said they offer either Kyleena or Mirena. I've looked Kyleena up and it's a tiny bit smaller and lower dose progesterone. Does anyone have any experience of it? I can't find any reference to the Kyleena on websites about menopause.

Mirena is the only ius licenced for endometrial
Protection with hrt. Don’t let anyone fit kyleena for this purpose.

Thanks @Helenluvsrob. That's a shame. I liked the sound of a smaller device with lower levels of hormones.

@WhereAreWeNow I know but the drug co haven’t pursued whether it’s enough drug which is a shame and rather suggests it probably isn’t.

@Helenluvsrob I've found a clip of Nick Panay saying he's had success using Kyleena in his clinic but with close monitoring (presumably regular ultrasounds to check uterine lining... Not something I'm likely to get from my GP!).

I thought we were on the Baby Names thread then! 😂

Congratulations on the birth of your twin girls Kyleena and mirena🤣🤣

Kyleena tends to be used for younger women who haven't experienced childbirth, it doesn't have enough hormone to keep the uterine lining thin when used with oestrogen. I've had a mirena for 15 years and have had no issues whatsoever.

@WhereAreWeNow nick panay snd the private side are certainly able to do some rather left field stuff.

Triplets. Mirena kyleena and sandrena ( the oestrogen gel ) for that perimenopausal accidental conception 😂

@TinaWeymouthsBass

Congratulations on the birth of your twin girls Kyleena and mirena🤣🤣

I'd be very wary of having either of them fitted. If you don't get on with them, the bastards refuse to remove them for you.

I worry about that @Djifunrsn.

@WhereAreWeNow The Jaydess coil is ok for using during menopause with estrogen, I think. It's smaller than a Mirena.

How is the Kyleena different? Or are they the same but different brand names?

Here you are- see side panel on left where is mention Jaydess and off label use under a consultant.

www.chelwest.nhs.uk/services/womens-health-services/gynaecology-services/menopause-and-pms-clinics/links/Mirena-Jaydess-IUS-consent-Sep-2017.pdf

That's interesting @JinglingHellsBells. Jaydess and Kyleena are a similar size (smaller than Mirena) but Jaydess has an even lower amount of progesterone. So Mirena has the most, then Kyleena, then Jaydess.

I just got Kyleena for heavy bleeding... let's see what happens. So far I had cramps day 1, 2, and very slight discomfort day 2.

Day 3 I meant.

I was really nervous about the coil fitting, but I actually laughed when it was done as I’ve had worse smears. Honestly, it was nothing.

What have your periods been like since G'night?
How are you finding it generally?

Not good at the moment, but they do stress that you must have it in for 3 months to let it settle. Mine has been in 2.5 months.
My periods are lighter ( which is why I had it put in, ferritin was very low and I felt ill with it ) but longer, and I do get a lot of pink/brown spotting. But it’s just there when I wipe myself after a wee. No need to wear a pad.
I’m going to stick it out for 3 or 4 months and see where I’m at then. Everyone I’ve spoke to loves them, so it must just be me !

Why and how could they refuse to remove it for you?
I've had the marina over 15 years with no issue. I was assured each time I had one put in that if I had issues they would remove it.

Yes, I was forewarned that I could have a 6 week period to begin with, but nothing yet. I've also tested v low for iron. If this doesn't work I'll go for ablation. Fingers crossed.

Alien I assume what the PP meant was that NHS GP would be reluctant to remove without giving it a chance to settle?

If you search Mirena on Mumsnet you'll find stories of women who had awful experiences and couldn't get their GP to remove it. I've read several posts from women who were so desperate they ended up pulling it out themselves (no idea how you would even do that!).
So I'm just worried that I have less control with the Mirena than a pill or a patch or something that I can easily stop using if I react badly.

Sorry, I meant to tag @Alieninmybody who asked what I meant...