Kyleena® may affect your menstrual cycle. 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 vaginal bleeding. Some women have heavy or prolonged bleeding during this time. Contact your healthcare professional if this persists.
Overall, you are likely to have a gradual reduction in the amount and number of days of bleeding each month. Some women eventually find that periods stop altogether.
When Kyleena® is removed, periods soon return to normal.
Download and print the Kyleena® menstrual diary to keep track of any spotting or bleeding which may occur in the next few months. You should have a check-up about 4 to 12 weeks after Kyleena® is inserted, again at 12 months and then once a year until it is removed.
Over time, your menstrual period may gradually disappear when using Kyleena®. This is because of the effect of the hormone on the lining of the uterus. The normal monthly thickening of the uterine lining with blood does not happen; therefore, there is little or no bleeding, as happens during a usual menstrual period. It does not necessarily mean you have reached menopause or are pregnant.
If, however, you are having regular menstrual periods and then do not have one for 6 weeks or longer, it is possible that you may be pregnant. You should speak to your healthcare professional.
While unlikely, it is possible that Kyleena® could partially or completely come out of place. If this happens, you will not be protected against pregnancy. An unusual increase in the amount of bleeding during your period or pain may be a sign that this has happened.
If you think that Kyleena® has come out of place, use a non-hormonal method of contraception (such as condoms) until you see your healthcare professional.
After each menstrual period or about once a month, you should check by feeling if the threads are still in place. Your healthcare professional will show you how to do this. Do not pull on the threads as you may accidentally pull Kyleena® out.
If you cannot feel the threads, this may indicate that Kyleena® has fallen out or uterine perforation has occurred. See your healthcare professional and in the meantime, use another method of non-hormonal contraception. You should also see your healthcare professional if you can feel the lower end of Kyleena® itself.
You should have your Kyleena® checked about 4 to 12 weeks after placement, again at 12 months and then once a year until it is removed. Kyleena® can stay in place for up to 5 years before it must be removed. You should receive a Patient Reminder Card from your healthcare professional after the placement of Kyleena®. Keep this card until Kyleena® is removed and bring it with you to every medical appointment.
During sexual intercourse, you or your partner should not be able to feel Kyleena®.
If you can feel Kyleena®, or if you feel any pain or discomfort that you suspect may be caused by it, then you should not have sexual intercourse until you see your healthcare professional to verify it is still in the correct position. The removal threads may be felt by your partner during intercourse.
Hormonal contraceptives including Kyleena® DO NOT PROTECT against Sexually Transmitted Infections (STIs) including HIV/AIDS. To protect yourself against STIs you can use condoms with Kyleena®.
The following is a list of possible side effects by how common they are.
Few women using Kyleena® after delivery have reported less milk production.
Please review the table below to see what to do if you experience serious side effects.