Kyleena® should be placed within 7 days of starting your period. If Kyleena® is placed within this timeframe, then no back up birth control is needed. If it is certain that you are not pregnant, Kyleena® may also be placed at any other time during your cycle. Tell your healthcare professional if you have had unprotected sex since your last period. If Kyleena® is placed more than 7 days since your period started, use a condom or diaphragm, or do not have sex for the next 7 days. Kyleena® cannot be used as emergency birth control. It is best to wait 24-48 hours before having intercourse in case of discomfort.
- When replacing an existing system for a new one, it is not necessary to wait for your period. A new Kyleena® can be placed at any time of the cycle.
- Following childbirth, Kyleena® should be placed only after the uterus has returned to its normal size, and not earlier than 6 weeks after delivery.
- Kyleena® can be placed immediately after a first trimester abortion. If an abortion takes place in the second trimester, placement of Kyleena® should be delayed for 6 weeks or until the uterus has returned to normal size.
- After a pelvic examination, your healthcare professional will insert a thin flexible plastic tube containing Kyleena® into your uterus. At this point you may feel some discomfort.
- Once Kyleena® is in the correct position, your healthcare professional will withdraw the tube leaving the system in place in the uterus.
- Finally, your healthcare professional will trim the removal threads to a suitable length.
The placement procedure usually takes a few minutes after your healthcare professional has completed the pelvic examination.
When Kyleena® is placed within 7 days of starting your period, you will be protected from pregnancy immediately. However, it is best to wait 24 to 48 hours before having sexual intercourse in the event of general discomfort. If Kyleena® is placed more than 7 days after the start of your period, use a condom or diaphragm for the next 7 days. Alternatively, do not have sex for the next 7 days.
Most often during placement, Kyleena® may become attached to (embedded) or go through the wall of the uterus, but this is uncommon. This is called perforation. If this happens, Kyleena® must be removed. The risk of perforation is increased in breastfeeding women, and in women who have placement up to 36 weeks after delivery, and may be increased in women with a mis-shaped uterus or a uterus that is fixed and leans backward (fixed retroverted uterus).
Kyleena® does not protect against HIV infection (AIDS) or any other sexually transmitted disease. Condoms are recommended for the prevention of sexually transmitted diseases.
In the first 3 weeks after placement of an IUS/IUD, there is an increased risk of a serious pelvic infection called pelvic inflammatory disease (PID). Other known risk factors for PID are having multiple sexual partners, frequent intercourse, sexually transmitted infections (STIs) and young age.
PID can cause serious problems such as difficulty getting pregnant, development of a pregnancy outside the uterus (ectopic pregnancy), or pelvic pain that does not go away. PID is usually treated with antibiotics. More serious cases of PID may require surgery.
Tell your healthcare professional right away if you have signs of PID. These can include long-lasting or heavy bleeding, unusual vaginal discharge, pain in your lower stomach area, painful sex, chills or fever.
While using Kyleena®, the risk of pregnancy is low. However, if you get pregnant while using Kyleena®, it is more likely that the pregnancy will be ectopic. This means that the pregnancy is not in the uterus. Ectopic pregnancy is a serious condition. Tell your healthcare professional immediately if you have lower abdominal pain, especially if you have missed a period and/or have unexpected bleeding. These can be signs of an ectopic pregnancy.
Some women may feel dizzy after Kyleena® is placed. This feeling goes away after a short rest. The placement may cause a seizure in patients who have epilepsy. You may also experience some bleeding during or just after placement. After placement you may feel some cramp-like menstrual pain; however, this usually stops within a few days.
It is not likely, but Kyleena® may go through the wall of the uterus during placement and come to rest outside the uterus. If this happens Kyleena® must be removed.