Types of IUDs

Everything You Want to Know

September 1, 2018

Kyleena is an intrauterine device (IUD). It’s manufactured by Bayer, so is part of the Identical family of IUDs as Mirena and Skyla. The Kyleena IUD consists of a soft, flexible polyethylene (plastic) frame in the form of a T. Kyleena must be inserted with an experienced health-care professional.

As a way to stop pregnant, this IUD gradually releases the progestin, levonorgestrel, into the uterus over a period of 5 years.

The Kyleena IUD contains 19.5 mg of levonorgestrel. It releases 17.5 mcg of the hormone every day. After one year, this speed gradually declines to 9.8 mcg per day, then to 7.4 mcg per day. It is FDA-approved to be used in women who own or have not give birth.

If you’re thinking about using Kyleena, knowing the facts may help you make a more confident decision. It is normal to wonder about some of the questions below.

How It Works

The Kyleena IUD helps to prevent pregnancy by becoming in the way of sperm. This makes it hard for the sperm to fertilize an egg. So, basically, Kyleena hinders the movement of semen. The Kyleena IUD also has progestin–that this hormone induces your cervical mucus to thicken, thins the lining of your uterus, and lowers the survival of their sperm. Kyleena may function to avoid pregnancy in ways that the pill does, also.

When Should I Buy It?

You ought to have your Kyleena IUD inserted some time during the first seven days of your menstrual cycle or immediately following a first-trimester abortion.

If Kyleena is inserted during this time period, it’s immediately effective, so you won’t have to utilize any back-up contraception.

If you’ve got your own Kyleena IUD inserted at any time during your monthly cycle, then you will need to use another contraceptive method (such as spermicide or capsules ) during the first week following Kyleena inserted.

Pregnancy protection begins after seven days (one week).

You should wait a minimum of six months to have Kyleena inserted after giving birth or getting a second-trimester abortion. This allows your uterus to fully cure before having Kyleena inserted.

Kyleena, Skyla, or Mirena?

The Kyleena IUD works exactly the same manner as equally Mirena and Skyla. There are a number of differences between these 3 hormone-releasing IUDs. All three of these IUDs are highly effective birth control techniques. They’re inserted into your uterus and can be removed at any time. Your fertility should immediately return once every one of these IUDs are removed. So, let’s compare…




Contains 19.5 mg of the progestin, levonorgestrel; discharges approximately 17.5 mcg every day.

Contains 52 mg of the progestin, levonorgestrel; releases approximately 20 mcg daily. 

Includes 13.5 mg of the progestin, levonorgestrel; discharges about 14 mcg each day.

Steps 28 mm horizontally and 30 mm .

Measures 32 mm horizontally and 32 mm vertically.

Steps 28 mm horizontally and 30 mm .

Tube used to add Kyleena is 3.8 millimeters in diameter.

Tube used to insert Mirena is 4.4 mm in diameter.

Tube used to add Skyla is 3.8 mm in diameter.

Can be used for up to 5 years.

Can be used for up to five decades.

Can be used for up to 3 years.

Over 99% effective.

99.8% successful.

99.1% effective.

Labeling says that: Kyleena may be used if not a girl has had a kid.

Labeling states that: Mirena is advised for women who have had at least one child.

Labeling says that: Skyla can be used whether or not a girl has had a kid.

Twelve percent likelihood of being period-free after 1 year.

Twenty percent chance of being period-free following 1 year.

Six percent chance of being period-free after 1 year.

Can cause periods to be lighter and shorter.

Can cause periods to be milder. As a result of higher progestin degree, this IUD is also FDA-approved to help treat heavy and painful periods.

Can cause periods to be lighter and shorter.


  • Kyleena provides continuous pregnancy prevention for up to five decades.
  • It is hassle-free–after inserted, you don’t really have anything else to do.
  • The Kyleena IUD is smaller in size and has a slimmer insertion tubing than Mirena. This may make the insertion process less painful than a Mirena or ParaGard IUD insertion.
  • Kyleena can be taken away anytime within its 5-year period.
  • It is totally reversible, and your fertility rapidly returns–you can become pregnant as soon as Kyleena is removed. About 7 out of 10 women (who wish to become pregnant) will become pregnant within 12 months after Kyleena is eliminated.
  • The Kyleena IUD is FDA-approved for women who own or who never have had kids.
  • Kyleena is a good choice if you can’t utilize estrogen-based birth control.
  • If you’ve got a bigger uterus (such as young teenagers and perimenopausal women), then Kyleena may be better tolerated than other IUDs.
  • Neither you nor your partner should be able to feel Kyleena through intercourse.
  • Kylenna is an eco friendly birth control method.
  • It may be used if you are breastfeeding.
  • Kyleena might be a good IUD option if you’ve only had cesarean deliveries.


Most women don’t have any problems adjusting to an IUD. However, you might experience some bleeding, pain, or nausea during or following your Kyleena IUD was inserted. If these symptoms don’t stop within half an hour after insertion, there might be the possibility your Kyleena IUD was not inserted correctly. Make certain that you speak to your physician about any side effects you’re experiencing.

Some women have bad fractures or backache for many days or weeks after their Kyleena IUD is added.

Negative Effects

You will experience side effects after having your Kyleena IUD inserted. The majority of the time, these will go away after the first couple of weeks to months. The most commonly reported Kyleena IUD side effects include:

  • Inflammation or infection of the outer portion of the vagina (vulvovaginitis)
  • Ovarian cysts are diagnosed in about 22% of Kyleena users. Typically, these disappear by themselves within 1-2 months
  • Increased bleeding
  • Stomach and/or pelvic pain
  • Acne or seborrhea (oily skin)
  • Headaches or migraines
  • Dysmenorrhea or uterine spasms
  • Breast pain or discomfort

adjustments to Your Stage?

  • Throughout the first 3-6 months after insertion of your Kyleena IUD, you may have a higher prospect of experiencing bleeding and spotting. Your period may become irregular, and/or your periods may be heavier or longer than usual.
  • Although breakthrough bleeding and spotting will likely decrease within the first 3 weeks after insertion, your periods may continue to become irregular. 
  • Over time, your periods will probably become lighter and shorter. Since the progestin in Kyleena thins your uterine lining, bleeding can reduce the longer your Kyleena IUD has already been set up. Your periods may stop altogether (about 12 percent of women stop having periods after using Kyleena for one year).

Hazards and Complications 

Significant complications with Kyleena are very rare. Make sure to tell your doctor straight away if any problems occur. Some more serious side effects include:

  • Ectopic pregnancy
  • Sepsis (intense, life-threatening disease )
  • Perforation or expulsion

Some side effects may be like other IUD as well.

Who Should Get It?

The Kyleena IUD was especially researched by nulliparous women (the fancy medical term for women who have never given birth)–sothe FDA has approved Kyleena to be used by women within this population.  Kyleena’s product labeling states that this IUD may be used whether you have given birth to your kid. But IUDs are not recommended for all girls, so be sure that you meet the criteria of becoming a fantastic candidate and talk with your doctor about any potential risks.


  • You must have your Kyleena IUD removed following your 5 years are up (it won’t evaporate or dissolve in your own body ). You may choose to have another Kyleena IUD inserted during the exact same visit.
  • If you would like to change to some other birth control method (and also have continuous pregnancy protection) after stopping Kyleena, schedule your IUD removal to take place during the initial 7 days of your period and immediately start your new procedure. If you’ve got your own Kyleena eliminated at any time during your menstrual cycle, start your new contraceptive method at least 7 days prior to getting your Kyleena removed.
  • KEEP IN MIND: in case you have had sexual intercourse (without having a male condom, female condom, spermicide, or even the sponge) within 5 days before having your Kyleena eliminated, you might be at risk for getting pregnant after your IUD is removed.
  • You shouldn’t ever attempt to remove Kyleena by yourself (after all, this is why we have doctors!) . There’s a little possibility that your own Kyleena IUD may come out on its own–but, more likely, you will need to schedule an appointment to get it removed.
  • You may also have your Kyleena IUD removed at anytime before the 5-year interval finishes.
  • In case your Kyleena IUD comes out on its own, there’s a good likelihood that you won’t even notice. That is why it’s very important to feel for the stringssince that is the only way for you to know that your Kyleena remains set up. If your Kyleena has come out, call your doctor. Your doctor will most likely perform a pregnancy test (to make certain you are not pregnant) prior to introducing a fresh Kyleena IUD.
  • In case your Kyleena IUD has gotten partially expelled, contact your doctor right away (and use a back up method of contraception). Do not attempt to pull the rest of it out by yourself.


Kyleena has a higher upfront cost compared to other birth control methods.  The cost of this exam, the Kyleena IUD, insertion, and follow up visits can cost approximately $500-$900. Medicaid may possibly cover these costs. You might also consult your medical insurance policy since policy for Kyleena ought to be covered without a out-of-pocket costs for all non-grandfathered insurance programs.


The Kyleena IUD is super effective. This reversible, long-acting contraceptive method is over 99% successful. This means that from every 100 women using the Kyleena IUD at one year, less than 1 will become pregnant with typical use in addition to with perfect use.

Some Useful Tips: When employing the Kyleena IUD, most pregnancies occur because your Kyleena has come out, and you probably did not realize that this has happened. Even though the prospect of pregnancy when using Kyleena is very low, it could occur. If you become pregnant when your Kyleena IUD remains in place, try to contact your physician when you understand that you’re pregnant–since there may be possible risks associated with this sort of pregnancy.

STD Protection

The Kyleena IUD provides no protection against sexually transmitted infections. You may be more inclined to find pelvic inflammatory disease following your Kyleena insertion when you’ve got an STD during this time period. You may be more at risk if you have multiple sexual partners or a sexual partner who has had multiple sexual partners.

A Word From Verywell

Kyleena and other IUDs can provide a safe birth control method if you are a fantastic candidate. Remember that there are multiple birth control alternatives available so that you can select one that’s ideal for you. The choices can certainly be overpowering, especially when the details of how each works are fuzzy. As soon as you do your research and also talk with your physician, you can more confidently choose one.