What is the Kyleena IUD?
An IUD is a small device which is placed inside the uterus. The vertical arm of this IUD contains levonorgestrel. This hormone is a progestin much like the progesterone ovaries produce. The average daily hormone level in the blood is only 9 mcg/daily . The levonorgestrel causes the cervical mucus to become thicker so sperm cannot reach the egg and the hormone also thins the lining of the uterus. An IUD does not cause an abortion.
How effective is the Kyleena IUD?
The Kyleena is 99.8% effective against pregnancy. Among typical users approx. 2 in 1,000 (.2%) will experience a pregnancy in the first year of use.
What are the advantages of the Kyleena IUD?
- Kyleena is highly effective
- Kyleena is effective for up to 5 years.
- Once Kyleena is removed, fertility returns rapidly.
- IUDs are safe, inexpensive over time, and provide extremely effective long-term contraception.
- The Kyleena is the same physical frame size as the Jaydess (which is smaller than the Mirena) but can be left in place for up to 5 years.
- All you have to do is check for the strings each month.
- Kyleena may be used by people who cannot or do not wish to use estrogen containing birth control methods such as combined pill, patch or ring.
- Kyleena may be inserted 6 weeks following the delivery of a baby or a second trimester abortion and immediately after first trimester abortion.
What are the possible side effects and disadvantages of the Kyleena IUD?
- There are usually more bleeding days than typical and irregular bleeding/spotting for the first 3-6 months.
- 1-10% chance of progestin related side effects including acne/oily skin, nausea, headaches, breast, ovarian cyst , vaginal discharge and/or mood changes
- Some users stop getting regular menstrual bleeding, this is safe
- There may be discomfort at the insertion of the device which can range from mild to more intense for a short period of time
- An IUD does not provide protection against sexually transmitted infections. We encourage the use of condoms to reduce risk.
There is a high initial cost of Kyleena, approximately $350+, depending on where you purchase it from. It may be covered by extended drug plans. The cost of the IUD is non-refundable
What are the Risks of the Kyleena IUD?
- There is a 1 in 20 risk of the IUD being expelled, usually in the first year of use.
- There is a 1 in 1000 risk of uterine perforation at the time of insertion.
- There is a 1 in 100 risk of pelvic infection in the 20 days following insertion but the risk is the same as a non-IUD user thereafter.
How can I start using the Kyleena IUD?
The Kyleena IUD can be inserted by a trained physician. Island Sexual Health Society (250-592-3479) runs designated IUD clinics with trained physicians.
- We ask interested clients to get pre-screened for cervical or vaginal infections at either ISHS or their family doctor before the insertion.
- If you use condoms only, please abstain from sex from your last period or for 2 weeks before intercourse whichever comes later until the IUD can be inserted.
- If you are using the pill, patch, or ring continue using this method until 7 days after your insertion.
- If the risk of pregnancy can be excluded, an IUD may be inserted at any time in your cycle.
- You can expect some strong menstrual type cramping at the time of insertion and for about 20 minutes after. The insertion itself usually takes less than 5 minutes.
- It is convenient if someone can drive you home from the insertion appointment.
- Be sure you are comfortable locating your cervix prior to insertion (your vagina feels fleshy and moist like the inside of your mouth and your cervix feels firm and round like the end of your nose)
Remember that IUDs don’t provide any protection against sexually transmitted infections. Use a barrier method such as a condom to protect yourself and your partner(s).