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 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.
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.
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.
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.
Yes. Because Kyleena is in your uterus, not your vagina, you can still use tampons.
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.
Your healthcare provider will confirm if you need to use back-up birth control after Kyleena is placed.
Kyleena can be removed at any time by your healthcare provider, and you can try getting pregnant right away. Because Kyleena is completely 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.
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.
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.
Check with your insurance. Kyleena may be available at no cost, including the cost of the product and your placement and removal appointments. Your healthcare provider’s office may be able to help you, or you can call your health insurance company directly. Remember to ask if you can get Kyleena for no cost.
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.
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
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.
Inflammation or infection of the outer part of your vagina (vulvovaginitis)
Abdomen or pelvic pain
Headache or migraine
Acne or greasy skin
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.