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What to expect during your placement

Placement of Kyleena takes just a few minutes. Getting Kyleena does not involve surgery and is done by your healthcare provider during a routine in-office visit. Other qualified healthcare providers, such as a nurse practitioner or physician assistant, may also be able to place Kyleena.

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 provider will examine you to see if Kyleena needs to be removed or replaced.


  • 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

What to expect with Kyleena

Your periods are likely to change. 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 provider.


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

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

Should I check that Kyleena is in place?

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 teach 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 non-hormonal back-up birth control (such as condoms and spermicide), and ask your healthcare provider to check that Kyleena is still in the right place.

What if I want birth control for more than 5 years?

Kyleena must be removed after 5 years. Your healthcare provider can place a new Kyleena during the same office visit if you choose to continue using Kyleena.

What if I change my mind about birth control and want to become pregnant in less than 5 years?

Your healthcare provider can remove Kyleena at any time. You may become pregnant as soon as Kyleena is removed. About 7 out of 10 women who want to become pregnant will become pregnant sometime in the first year after Kyleena is removed.

After Kyleena has been placed, when should I call my healthcare provider?

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 provider.
Call your healthcare provider 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
Did you know Headline image

IUDs are considered one of the most effective forms of birth control by the American College of Obstetricians and Gynecologists.



Kyleena® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 5 years.


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.