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  • What is an IUD?

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An IUD (intrauterine device) is a small, T-shaped device that’s placed in your uterus by your healthcare provider during a routine in-office visit. Getting an IUD does not involve surgery and typically takes just a few minutes. Once in place, it provides continuous, highly effective birth control.

Everyone is different, and some women may experience discomfort, dizziness, or spotting during or after placement. Those symptoms should go away shortly. If they don’t, contact your healthcare provider. Within 4 to 6 weeks you should return for a follow-up visit to make sure that everything is okay.

  • Do I have to use Kyleena for 5 years?

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No. Kyleena can be removed at any time by your healthcare provider. You could become pregnant as soon as Kyleena is removed, so you should use another method of birth control if you do not want to become pregnant.

  • Should I check that Kyleena is in place?

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Yes, you should check that Kyleena is in the proper position by feeling the removal threads. It is a good habit to do this once a month. Your healthcare provider should tell you how to check that Kyleena is in place. First, wash your hands with soap and water. You can check by reaching up to the top of your vagina with clean fingers to feel the removal threads. Do not pull on the threads. If you feel more than just the threads or if you cannot feel the threads, Kyleena may not be in the right position and may not prevent pregnancy. Use nonhormonal back-up birth control (such as condoms and spermicide), and ask your healthcare provider to check that Kyleena is still in the right place.

  • How soon after the placement of Kyleena should I return to my healthcare provider?

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Call your healthcare provider if you have any questions or concerns. Otherwise, you should return to your healthcare provider for a follow-up visit 4 to 6 weeks after Kyleena is placed to make sure that it is in the right position.

  • Can I use tampons with Kyleena?

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Yes. Because Kyleena is in your uterus, not your vagina, you can still use tampons.

  • Will my partner be able to feel Kyleena during sex?

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You and your partner should not feel Kyleena during intercourse. Kyleena is placed in the uterus, not in the vagina. Sometimes your partner may feel the threads. If this occurs, or if you or your partner experience pain during sex, talk with your healthcare provider.

  • Does Kyleena start working right away?

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Your healthcare provider will confirm if you need to use back-up birth control after Kyleena is placed.

  • What if I change my mind and want to try to get pregnant?

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Kyleena can be removed at any time by your healthcare provider, and you can try getting pregnant right away. Because Kyleena is reversible, there's no waiting period. In fact, about 7 out of 10 women who tried to become pregnant conceived within a year of having Kyleena removed.

  • Will it hurt to have Kyleena placed?

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Everyone is different, and some women may experience pain, bleeding, dizziness or spotting during or after placement. Those symptoms should go away shortly. If they don’t stop within 30 minutes, Kyleena may not have been placed correctly and you should talk to your healthcare provider, who may want to examine you to make sure that everything is okay.

  • How will Kyleena change my periods?

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For the first 3 to 6 months, your period may become irregular and the number of bleeding days may increase. You may also have frequent spotting or light bleeding. Some women have heavy bleeding during this time. After you have used Kyleena for a while, the number of bleeding and spotting days is likely to lessen. For some women, periods will stop altogether. When Kyleena is removed, your menstrual periods should return.

  • Will my health insurance plan cover Kyleena?

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Learn how to check with your insurance company.

  • Does Kyleena protect against HIV/STDs?

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Kyleena does not protect against HIV or any other STDs. If you think that you or your partner may be at risk of getting an STD, you should use condoms and call your healthcare provider.

  • Who should not use Kyleena?

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Kyleena is not right for everyone. You should not use Kyleena if you:

  • Are or might be pregnant; Kyleena cannot be used as an emergency contraceptive

  • Have had a serious pelvic infection called pelvic inflammatory disease (PID), unless you have had a normal pregnancy after the infection went away

  • Have an untreated pelvic infection now

  • Have had serious pelvic infections in the past 3 months after a pregnancy

  • Can get infections easily. For example, if you:

    • Have multiple sexual partners or your partner has multiple sexual partners

    • Have problems with your immune system

    • Abuse intravenous drugs

  • Have or suspect you might have cancer of the uterus or cervix

  • Have bleeding from the vagina that has not been explained

  • Have liver disease or liver tumor

  • Have breast cancer or any other cancer that is sensitive to progestin (a female hormone), now or in the past

  • Have an intrauterine device in your uterus already

  • Have a condition of the uterus that changes the shape of the uterine cavity, such as large fibroid tumors

  • Are allergic to levonorgestrel, silicone, polyethylene, silver, silica, barium sulfate, polypropylene, or copper phthalocyanine

  • What if I become pregnant while using Kyleena?

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Call your healthcare provider right away if you think you are pregnant. If you get pregnant while using Kyleena, you may have an ectopic pregnancy. This means that the pregnancy is not in the uterus. Unusual vaginal bleeding or abdominal pain may be a sign of ectopic pregnancy. Ectopic pregnancy is a medical emergency that often requires surgery. Ectopic pregnancy can cause internal bleeding, infertility, and even death.

There are also risks if you get pregnant while using Kyleena and the pregnancy is in the uterus. Severe infection, miscarriage, premature delivery, and even death can occur with pregnancies that continue with an intrauterine device (IUD). Because of this, your healthcare provider may try to remove Kyleena, even though removing it may cause a miscarriage. If Kyleena cannot be removed, talk with your healthcare provider about the benefits and risks of continuing the pregnancy.

If you continue your pregnancy, see your healthcare provider regularly. Call your healthcare provider right away if you get flu-like symptoms, fever, chills, cramping, pain, bleeding, vaginal discharge, or fluid leaking from your vagina. These may be signs of infection.

It is not known if Kyleena can cause long-term effects on the fetus if it stays in place during a pregnancy.

  • What are the possible side effects of Kyleena?

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Kyleena can cause serious side effects, including:

  • Ectopic pregnancy and intrauterine pregnancy risks. There are risks if you become pregnant while using Kyleena (see “”).

  • Life‐threatening infection. Life­‐threatening infection can occur within the first few days after Kyleena is placed. Call your healthcare provider immediately if you develop severe pain or fever shortly after Kyleena is placed.

  • Pelvic inflammatory disease (PID). Some IUD users get a serious pelvic infection called pelvic inflammatory disease. PID is usually sexually transmitted. You have a higher chance of getting PID if you or your partner has sex with other partners. PID can cause serious problems such as infertility, ectopic pregnancy or pelvic pain that does not go away. PID is usually treated with antibiotics. More serious cases of PID may require surgery. A hysterectomy (removal of the uterus) is sometimes needed. In rare cases, infections that start as PID can even cause death. Tell your healthcare provider right away if you have any of these signs of PID: long-lasting or heavy bleeding, unusual vaginal discharge, low abdominal (stomach area) pain, painful sex, chills, or fever.

  • Perforation. Kyleena may become attached to (embedded) or go through the wall of the uterus. This is called perforation. If this occurs, Kyleena may no longer prevent pregnancy. If perforation occurs, Kyleena may move outside the uterus and can cause internal scarring, infection, or damage to other organs, and you may need surgery to have Kyleena removed. The risk of perforation is increased in breastfeeding women.

  • What are the common side effects of Kyleena?

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Common side effects of Kyleena include:

  • Pain, bleeding, or dizziness during and after placement. If these symptoms do not stop 30 minutes after placement, Kyleena may not have been placed correctly. Your healthcare provider will examine you to see if Kyleena needs to be removed or replaced.

  • Expulsion. Kyleena may come out by itself. This is called expulsion. Expulsion occurs in about 4 out of 100 women. You may become pregnant if Kyleena comes out. If you think that Kyleena has come out, use a back-up birth control method like condoms and spermicide, and call your healthcare provider.

  • Missed menstrual periods. About 12 out of 100 women stop having periods after 1 year of Kyleena use. If you do not have a period for 6 weeks during Kyleena use, call your healthcare provider. When Kyleena is removed, your menstrual periods should return.

  • Changes in bleeding. You may have bleeding and spotting between menstrual periods, especially during the first 3 to 6 months. Sometimes the bleeding is heavier than usual at first. However, the bleeding usually becomes lighter than usual and may be irregular. Call your healthcare provider if the bleeding remains heavier than usual or increases after it has been light for a while.

  • Cysts on the ovary. About 22 out of 100 women using Kyleena develop a cyst on the ovary. These cysts usually disappear on their own in two to three months. However, cysts can cause pain and sometimes need surgery.

Other common side effects include:

  • Inflammation or infection of the outer part of your vagina (vulvovaginitis)

  • Abdomen or pelvic pain

  • Headache or migraine

  • Acne or greasy skin

  • Painful periods

  • Sore or painful breasts

This is not a complete list of possible side effects with Kyleena. For more information, please see Full Prescribing Information or ask your healthcare provider.