Kyleena(Intrauterine)
Levonorgestrel is a female hormone that can cause changes in your cervix and uterus. Levonorgestrel intrauterine system or intrauterine device (IUD) is placed in the uterus where it slowly releases the hormone.
Levonorgestrel intrauterine system is used to prevent pregnancy for 3 to 6 years.Mirenais also used to treat heavy menstrual bleeding in women who choose to use an intrauterine form of birth control.
Levonorgestrel does not contain estrogenand should not be used as emergency birth control.
Levonorgestrel intrauterine system may also be used for purposes not listed in this medication guide.
用途
What isKyleena(Intrauterine)used for?
- Contraception
- 涂料后避孕
warnings
What is the most important information I should know aboutKyleena(Intrauterine)?
An IUD can increase your risk of developing a serious pelvic infection, which may threaten your life or your future ability to have children. Ask your doctor about this risk.
Do not use during pregnancy.If left in place during pregnancy, this IUD could cause severe infection, miscarriage, premature birth, or death of the mother. The hormone in the IUD may also cause unwanted effects in a female newborn.
Tell your doctor right away if you become pregnant.If you continue the pregnancy, watch for signs such as fever, chills, cramps, vaginal bleeding or discharge.
You should not use this device if you are allergic to levonorgestrel, silicone, silica, silver, barium, iron oxide, or polyethylene, or if you have:
- abnormal vaginal bleeding that has not been checked by a doctor;
- an untreated or uncontrolled pelvic infection (vaginal, cervical, uterine);
- endometriosis or a serious pelvic infection following a pregnancy or abortion in the past 3 months;
- pelvic inflammatory disease (PID), unless you had a normal pregnancy after the infection was treated and cleared;
- uterine fibroid tumors or conditions that affect the shape of the uterus;
- past or present cancer of the breast, cervix, or uterus;
- liver disease or liver tumor (benign or malignant);
- a condition that weakens your immune system, such as AIDS, leukemia, or IV drug abuse;
- if you have another intrauterine device (IUD) in place;
- if you had an abortion or miscarriage in the past 6 weeks; or
- if you gave birth to a baby in the past 6 weeks.
Tell your doctor if you have ever had:
- high blood pressure, heart problems, a heart attack, or a stroke;
- bleeding problems;
- migraine headaches; or
- a vaginal infection, pelvic infection, or sexually transmitted disease.
Do not breastfeed until at least 6 weeks have passed since your baby was born.The risk of uterine complications from IUD insertion is greater while you are breastfeeding.
Side Effects
What are the side effects ofKyleena(Intrauterine)?
如果有紧急医疗帮助signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
如果有紧急医疗帮助severe pain in your lower stomach or side. This could be asign of a tubal pregnancy.
The IUDmay become embedded into the wall of the uterus, or may perforate (form a hole) in the uterus.If this occurs, the device may no longer prevent pregnancy, or it may move outside the uterus and cause scarring, infection, or damage to other organs. Your doctor may need to surgically remove the device.
马上打电话给你的医生如果你有:
- 严重的抽筋或骨盆疼痛，性交期间的疼痛；
- extreme dizziness or light-headed feeling;
- 严重的偏头痛；
- heavy or ongoing vaginal bleeding, vaginal sores, vaginal discharge that is watery, foul-smelling discharge, or otherwise unusual;
- pale skin, weakness, easy bruising or bleeding, fever, chills, or other signs of infection;
- jaundice (yellowing of the skin or eyes); or
- sudden numbness or weakness (especially on one side of the body), confusion, problems with vision, sensitivity to light.
Common side effects may include:
- pelvic pain, painful or irregular menstrual periods, changes in bleeding patterns or flow;
- vaginal swelling, itching or infection;
- temporary pain, bleeding, or dizziness during insertion of the IUD;
- ovarian cysts (pelvic pain that disappears within 3 months);
- stomach pain, nausea, vomiting, bloating;
- headache, migraine, depression, mood changes;
- back pain, breast tenderness or pain;
- weight gain, acne, oily skin, changes in hair growth, loss of interest in sex; or
- puffiness in your face, hands, ankles, or feet.
这不是一个副作用,ot的完整列表hers may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Pregnancy & Breastfeeding
Can I takeKyleena(Intrauterine)if I’m pregnant or breastfeeding?
Do not use during pregnancy.If left in place during pregnancy, this IUD could cause severe infection, miscarriage, premature birth, or death of the mother. The hormone in the IUD may also cause unwanted effects in a female newborn.
Do not breastfeed until at least 6 weeks have passed since your baby was born.The risk of uterine complications from IUD insertion is greater while you are breastfeeding.
互动
What drugs and food should I avoid while takingKyleena(Intrauterine)?
Avoid having more than one sex partner. The IUD can increase your risk of developing a serious pelvic infection, which is often caused by sexually transmitted disease. Levonorgestrel intrauterine systemwill notprotect you from sexually transmitted diseases, including HIV and AIDS. Using a condom is the only way to help protect yourself from these diseases.
Call your doctor if your sex partner develops HIV or a sexually transmitted disease, or if you have any change in sexual relationships.
Dosage Guidelines & Tips
How to takeKyleena(Intrauterine)?
UseKyleena(Intrauterine)exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
The levonorgestrel IUD is inserted through the vagina and placed into the uterus by a doctor.
You may feel pain or dizziness during insertion of the IUD, and you may have minor vaginal bleeding.Tell your doctor if these symptoms last longer than 30 minutes.
The IUD should not interfere with sexual intercourse, wearing a tampon or menstrual cup, or using other vaginal medications.
Your doctor should check the IUD after a few weeks to make sure it is still in place. You will also need annual pelvic exams and Pap smears.
You may have irregular periods for 3 to 6 months. Your flow may be lighter or heavier, and your periods may stop after several months.Tell your doctor if you do not have a period for 6 weeks or if you think you might be pregnant.
The IUD may come out by itself.After each menstrual period, make sure you can still feel the removal strings at the opening of your cervix.
Call your doctor at once if you cannot feel the strings, or if you think the IUD has slipped lower or has come out of your uterus, especially if you also have pain or bleeding. Use a non-hormone method of birth control (condom, diaphragm, cervical cap, or contraceptive sponge) to prevent pregnancy until your doctor is able to replace the IUD.
如果您需要有MRI(magnetic resonance imaging), tell your caregivers ahead of time that you have an IUD in place.
Your IUD may be removed at any time you decide to stop using birth control.MirenaorLilettamust be removed at the end of the 6-year wearing time.Kyleenamust be removed after 5 years, andSkylamust be removed after 3 years. Your doctor can insert a new device if you wish to continue using this form of birth control.Only your doctor should remove the IUD. Do not attempt to remove the device yourself.
If you decide to use a different method of birth control,您可能需要在删除宫内节育器之前一周开始使用它。
Since the IUD continuously releases a low dose of levonorgestrel, missing a dose does not occur when using this form of levonorgestrel.
Overdose Signs
What happens if I overdose onKyleena(Intrauterine)?
An overdose of levonorgestrel released from the intrauterine system is very unlikely to occur.