This article will go over what you should know before getting the Kyleena IUD inserted.
The IUD contains 19.5 milligrams (mg) of levonorgestrel.
Levonorgestrel is thought to prevent pregnancy by:
Kyleena is placed in the uterus by a qualified healthcare provider.

Illustration by Michela Buttignol for Verywell Health
you might get a Kyleena IUD whether you have had a baby or not.
The IUD insertion might be more uncomfortable for your cervix if you’venever been pregnantand given birth vaginally.
Reversible, long-acting contraception like the Kyleena IUD is over 99% effective.
The rate over five years is 98.6%.
The chance of pregnancy is very low while using Kyleena, but it can still happen.
Most pregnancies in people using Kyleena happen because the gear came out without them realizing it.
There arerisks of getting pregnant with an IUDin place.
Can Kyleena Be Used for Emergency Contraception?
However, there are also some differences between these hormone-releasing IUDs.
Kyleena and Skyla IUDs are the same sizes28 millimeters wide and 30 millimeters long.
Both IUDs are smaller than Mirena, which is 32 millimeters wide and 32 millimeters long.
All three IUDs are highly effective birth control methods.
Each one can be inserted into your uterus and can be removed at any time.
Your fertility should quickly return once the IUDs are removed.
Advantages of Kyleena
Kyleena has some advantages over other forms of birth control, including other IUDs.
In this case, you should call your provider right away.
Some people have a backache or mild cramping for a few days after their IUD is placed.
Inserting a Kyleena IUD
You have a few options for having the Kyleena IUD inserted.
You will not need to use any backup contraception.
Pregnancy protection from the IUD will start after seven days.
The insertion and removal of an IUD can cause some discomfort and pain.
Never venture to remove Kyleena by yourself.
You will need to make an appointment with your provider to have it taken out.
Side Effects of Kyleena
You may have side effects after having your Kyleena IUD inserted.
Changes to your period after an IUD could last for a few cycles (months).
Does Kyleena Change Your Period?
Over time, your periods will likely get shorter and lighter.
Your periods may stop altogether.
About 12% of people stop having periods after using Kyleena for one year.
Safety
Serious complications from using Kyleena are very rare.
However, IUDs do come with risks such as:
Can Kyleena Come Out?
If your Kyleena IUD comes out on its own (expulsion), you probably won’t notice.
Wait until you’ve got the option to see your provider and have it removed safely.
Does Kyleena Protect Against Sexually Transmitted Infections?
Can Kyleena Cause Pelvic Inflammatory Disease?
However, this complication is rare.
If you’ve had PID in the past, talk to your provider about getting an IUD.
Costs
Kyleena costs more than other forms of birth control.
Insurance, including Medicaid, may cover some or all of the costs for an IUD.
you might check with your health insurance provider to see how much they’ll cover.
Getting Kyleena or any other IUD should be covered with no out-of-pocket costs by all non-grandfathered insurance plans.
Kyleena is 99% effective at preventing pregnancy for up to five years.
All IUDs, including Kyleena, also come with risks and are not right for everyone.
IUDs are also not meant to be used as emergency contraception.
Frequently Asked Questions
Kyleena should not cause weight gain or weight loss.
Weight changes are not listed as a side effect of the Kyleena IUD.
Acne or oily skin can be a side effect of IUDs, including Kyleena.
Bayer.A closer look at Kyleena.
National Library of Medicine: DailyMed.Kyleena - levonorgestrel intrauterine gear[label].
Food and Drug Administration (FDA).Kyleena Prescribing Information.
Bayer.Kyleena Dosing and Efficacy.
Bayer.Frequently asked questions about Kyleena.
Kyleena.A guide to your intrauterine contraceptive.
Planned Parenthood.What are the side effects of IUDs?.
2017;137(3):309-313. doi:10.1002/ijgo.12130
National Institutes of Health.Pelvic inflammatory disease.
Published online October 26, 2022. doi:10.7759/cureus.30728
Kyleena.Cost and insurance.
National Library of Medicine: DailyMed.Skyla - levonorgestrel intrauterine machine[label].
National Library of Medicine: DailyMed.Mirena - levonorgestrel intrauterine gadget[label].