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Patient information leaflet and adverse event reporting information can be found at the bottom of the page​

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Preparing for Kyleena and beyond

The fitting of a Kyleena

During your appointment your doctor or nurse can talk you through everything and make sure you're happy to proceed.

When you are comfortable and ready, Kyleena is placed in the womb using a thin tube.


Your doctor or nurse will teach you how to check that your Kyleena is in place by finding and feeling the threads.


You may experience some pain and/or dizziness during the placement. Your doctor or nurse can advise you on ways to minimise discomfort ahead of your appointment. 


If you are epileptic, please tell your doctor or nurse.


You may want to bring a panty liner in case there is a little bleeding following the fitting.


Once it is fitted, you should not be able to feel your Kyleena.

After the insertion

After insertion, you may feel some pain similar to menstrual cramps. However, this usually disappears within a few days. If you experience severe pain or heavy bleeding after Kyleena is inserted, or if pain/bleeding persists for more than a few weeks, please make an appointment to see your doctor or nurse.


You may be offered a check-up 4-6 weeks after placement to make sure everything is going okay.


At the end of the fifth year, your Kyleena should be taken out by your doctor or nurse. If you wish to continue using Kyleena, you can get a new one fitted during the same appointment.

Kyleena can be removed by your healthcare professional at any time

There are several reasons why you may choose to remove Kyleena®. Here, you'll find information about getting pregnant after using Kyleena and continuing to prevent pregnancy after Kyleena is removed.

Reasons to remove Kyleena


I need a new one

Kyleena can remain in the uterus for up to 5 years. If you choose to continue using Kyleena, you’ll make an appointment with your healthcare professional to remove Kyleena and place a new one. Your new IUD can be placed immediately after the removal of the old one.

Pregnant woman with pregnancy bump

I want to get pregnant

If you are removing Kyleena because you want to get pregnant, you can start trying as soon as Kyleena is removed. Your healthcare professional can remove Kyleena at any time. You may become pregnant as soon as Kyleena is removed. About 7 out of 10 women who want to become pregnant will become pregnant sometime in the first year after Kyleena is removed.

Circle with diagonal line indicating no longer need or want

I no longer want to use Kyleena

Kyleena is intended for use up to 5 years, but you can stop using Kyleena at any time by asking your healthcare professional to remove it. You could become pregnant as soon as Kyleena is removed, so you should use another method of birth control. if you do not want to become pregnant. Talk to your healthcare professional about the most suitable birth control methods for you, because your new method may need to be started 7 days before Kyleena is removed to prevent pregnancy.

What to expect during the removal process

If you've made the decision with your healthcare professional to remove Kyleena for any of the reasons above, they can do so during a routine appointment Removing Kyleena does not require surgery, but you may experience some pain, bleeding, or dizziness, or have vasovagal reactions (feeling faint/passing out, or seizure in patients with epilepsy). Talk with your healthcare professional if you have other questions about the removal process. 

PP-KYL-GB-0131 January 2023


Kyleena® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUS that prevents pregnancy for up to 5 years.



  • If you have an untreated genital infection, get infections easily, or have certain cancers, don't use Kyleena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
  • If you have persistent pelvic or stomach pain, excessive bleeding after placement or if Kyleena comes out, tell your healthcare professional (HCP). If Kyleena comes out, call your HCP and avoid intercourse or use non-hormonal back-up birth control (such as condoms or spermicide). Kyleena may go into or go through the uterus and cause other problems.
  • Pregnancy while using Kyleena is uncommon but can be life threatening and may result in loss of pregnancy or fertility.
  • Ovarian cysts may occur but usually disappear.
  • Bleeding and spotting may increase in the first 3 to 6 months and remain irregular. Periods over time usually become shorter, lighter, or may stop.


Kyleena does not protect against HIV or STIs.


Only you and your HCP can decide if Kyleena is right for you. Kyleena is available by prescription only.


For important risk and usage information about Kyleena, please see Patient information leaflet

Reporting adverse events and quality complaints


If you get any side effects, talk to your doctor, pharmacist or nurse.

This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the yellow card scheme at
By reporting side effects, you can help provide more information on the safety of this medicine.