Understanding what happens before, during, and after placement
Once you and your healthcare professional decide that Kyleena® is right for you, they’ll schedule an appointment for it to be placed. Sometimes this can be done during the same office visit. If not, you’ll make another appointment to come back.
Before having Kyleena placed, tell your healthcare professional if you:
Have any of the conditions listed here
Have had a heart attack
Have had a stroke
Were born with heart disease or have problems with your heart valves
Have problems with blood clotting or take medicine to reduce clotting
Have high blood pressure
Recently had a baby or are breastfeeding
Have severe migraine headaches
Taking the mystery out of the placement procedure
Many women have concerns about the placement of Kyleena. Often, learning all you can about what to expect can help:
Placement of Kyleena takes just a few minutes during a routine office visit. You may experience pain, bleeding or dizziness during and after placement. If your symptoms do not pass within 30 minutes after placement, Kyleena may not have been placed correctly. Your healthcare professional will examine you to see if Kyleena needs to be removed or replaced.
Kyleena is placed by your healthcare professional during a routine office visit.
First, your healthcare professional will examine your pelvis to find the exact position of your uterus. Then they will clean your vagina and cervix with an antiseptic solution. Next, they will slide a slim plastic tube containing Kyleena into your uterus, then remove it, leaving Kyleena in place, and cut the threads to the right length.
If pain is a concern for you, ask your healthcare professional about taking over-the-counter pain medication before the procedure.
You should check that Kyleena is in proper position by feeling the removal threads. It is a good habit to do this once a month.
Your healthcare professional should teach you how to do this. 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 non hormonal back-up birth control (such as condoms and spermicide) until you can be seen by your healthcare professional who can confirm if Kyleena is still in place.
You should return to your healthcare professional for a follow-up visit 4 to 6 weeks after Kyleena is placed to make sure that it is in the right position. Otherwise, call your healthcare professional if you have any questions or concerns, or for any of these reasons.
If Kyleena is accidentally removed and you had vaginal intercourse within the preceding week, you may be at risk of pregnancy, and you should talk to a healthcare professional.
Call your healthcare professional if you have any concerns about Kyleena. Be sure to call if you:
- Think you are pregnant
- Have pelvic pain, abdominal pain, or pain during sex
- Have unusual vaginal discharge or genital sores
- Have unexplained fever, flu-like symptoms or chills
- Might be exposed to sexually transmitted infections (STIs)
- Are concerned that Kyleena may have been expelled (came out)
- Cannot feel Kyleena’s threads
- Develop very severe or migraine headaches
- Have yellowing of the skin or whites of the eyes. These may be signs of liver problems
- Have had a stroke or heart attack
- Become HIV positive, or your partner becomes HIV positive
- Have severe vaginal bleeding or bleeding that concerns you
Kyleena and your period
Your periods are likely to change while using Kyleena. During the first 3 to 6 months, bleeding and spotting days may increase, and your period may become irregular. Some women have heavy bleeding during this time.
Once your body adjusts, monthly bleeding usually decreases. Kyleena contains a small amount of a hormone that may reduce the monthly thickening of your uterine lining. This thinning of the uterine lining can reduce monthly bleeding.
Over time, your periods are likely to become shorter and lighter, or they may stop entirely. When Kyleena is removed, your periods should return.
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 professional.
DID YOU KNOW?
Because Kyleena is placed in the uterus, not in the vagina, you can still use tampons while using Kyleena.
Kyleena and sex
Because Kyleena sits in your uterus and not your vagina, you should not be able to feel it after it has been placed. You and your partner should not be able to feel Kyleena during sex. Sometimes, your partner may be able to feel the threads. If this happens, or if you or your partner experience pain during sex, talk with your healthcare professional.
INDICATION FOR KYLEENA
Kyleena® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 5 years.
IMPORTANT SAFETY INFORMATION
- If you have a pelvic infection, get infections easily, or have certain cancers, don't use Kyleena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
- If you have persistent pelvic or stomach pain or if Kyleena comes out, tell your healthcare professional (HCP). If Kyleena comes out, use back-up birth control. Kyleena may attach to or go through the uterus and cause other problems.
- Pregnancy while using Kyleena is uncommon but can be life threatening and may result in loss of pregnancy or fertility.
- Ovarian cysts may occur but usually disappear.
- Bleeding and spotting may increase in the first 3 to 6 months and remain irregular. Periods over time usually become shorter, lighter, or may stop.
Kyleena does not protect against HIV or STDs.
Only you and your HCP can decide if Kyleena is right for you. Kyleena is available by prescription only.
For important risk and use information about Kyleena, please see Full Prescribing Information.