Permanent Birth Control
(levonorgestrel-releasing intrauterine system) 52 mg
(levonorgestrel-releasing intrauterine system) 13.5 mg
Here are answers to some frequently asked questions about Skyla.
An IUD is a small, t-shaped device that’s placed in your uterus by your OB/GYN during a routine visit.
Getting an IUD is nonsurgical and typically takes just a few minutes. Once in place, it provides continuous, highly effective birth control.
Everyone is different, and some women may experience discomfort or spotting during or after placement. These symptoms should go away shortly. If they don’t, contact your OB/GYN. Within 4 to 6 weeks you should return for a follow-up visit to make sure that everything is okay.
No. Skyla can be removed at any time by your OB/GYN. You could become pregnant as soon as Skyla is removed, so you should use another method of birth control if you do not want to become pregnant.
Yes, you should check that Skyla is in proper position by feeling the removal threads. It is a good habit to do this once a month. Your OB/GYN should tell you how to check that Skyla is in place. First, wash your hands with soap and water. You can check by reaching up to the top of your vagina with clean fingers to feel the removal threads. Do not pull on the threads. If you feel more than just the threads or if you cannot feel the threads, Skyla may not be in the right position and may not prevent pregnancy. Use non-hormonal back-up birth control (such as condoms and spermicide) and ask your OB/GYN to check that Skyla is still in the right place.
Call your OB/GYN if you have any questions or concerns. Otherwise, you should return to your OB/GYN for a follow-up visit 4 to 6 weeks after Skyla is placed to make sure that Skyla is in the right position.
Yes. Because Skyla is in your uterus, not your vagina, you can still use tampons.
Neither you nor your partner should be able to feel Skyla during sex. Sometimes your partner can feel the threads. If this happens, let your OB/GYN know.
Your OB/GYN will confirm if you need to use back-up birth control after Skyla is placed.
Skyla can be removed at any time by your OB/GYN, and you can try getting pregnant right away. Because Skyla is completely reversible, there's no waiting period. In fact, about 3 out of 4 women who tried to become pregnant conceived within a year of having Skyla removed.
Everyone is different, and some women may experience pain, bleeding, dizziness or spotting during or after placement. These symptoms should go away shortly. If they don’t stop within 30 minutes, Skyla may not have been placed correctly and you should talk to your OB/GYN, who may want to examine you to make sure that everything is okay.
For the first 3 to 6 months, your period may become irregular and the number of bleeding days may increase. You may also have frequent spotting or light bleeding. Some women have heavy bleeding during this time. After you have used Skyla for a while, the number of bleeding and spotting days is likely to lessen. There is a small chance that your periods will stop altogether. Click here to get a Period Tracker that will help you chart your period as you adjust to Skyla.
Check with your health insurance to see if you can get Skyla at no cost, including product cost and your placement and removal appointments. Your OB/GYN’s office may be able to help you, or you can call your health insurance company directly. Remember to ask if you can get Skyla for no cost under the Affordable Care Act (ACA). You can find more information here.
Skyla does not protect against HIV or any other STDs. If you think that you or your partner may be at risk of getting an STD, you should use condoms and call your OB/GYN.
You should not use Skyla if you:
Call your OB/GYN right away if you think you are pregnant. If you get pregnant while using Skyla, you may have an ectopic pregnancy. This means that the pregnancy is not in the uterus. Unusual vaginal bleeding or abdominal pain may be a sign of ectopic pregnancy. Ectopic pregnancy is a medical emergency that often requires surgery. Ectopic pregnancy can cause internal bleeding, infertility, and even death.
There are also risks if you get pregnant while using Skyla and the pregnancy is in the uterus. Severe infection, miscarriage, premature delivery, and even death can occur with pregnancies that continue with an intrauterine device (IUD). Because of this, your OB/GYN may try to remove Skyla, even though removing it may cause a miscarriage. If Skyla cannot be removed, talk with your OB/GYN about the benefits and risks of continuing the pregnancy.
If you continue your pregnancy, see your OB/GYN regularly. Call your OB/GYN right away if you get flu-like symptoms, fever, chills, cramping, pain, bleeding, vaginal discharge, or fluid leaking from your vagina. These may be signs of infection.
It is not known if Skyla can cause long-term effects on the fetus if it stays in place during a pregnancy.
Skyla can cause serious side effects, including:
Common side effects of Skyla include:
This is not a complete list of possible side effects with Skyla. For more information, ask your OB/GYN.
Skyla (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 3 years.Important Safety Information
Skyla does not protect against HIV or STDs.
Only you and your healthcare provider can decide if Skyla is right for you. Skyla is available by prescription only.
For important risk and use information about Skyla, please see the Full Prescribing Information.
Mirena (levonorgestrel-releasing intrauterine system) is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 5 years. Mirena also treats heavy periods in women who choose intrauterine contraception.Important Safety Information
Only you and your healthcare provider can decide if Mirena is right for you. Mirena is recommended for women who have had a child.
Mirena does not protect against HIV or STDs.
Available by prescription only.
For important risk and use information about Mirena, please see the Full Prescribing Information.
Essure® is permanent birth control that works with your body to create a natural barrier against pregnancy.Important Safety Information
Essure is not right for you if you are uncertain about ending your fertility, can have only one insert placed, suspect you are pregnant or have been pregnant within the past 6 weeks, have had your tubes tied, have an active or recent pelvic infection, or have a known allergy to contrast dye.
Tell your doctor if you are taking immunosuppressants or think you may have a nickel allergy.
WARNING: You must continue to use another form of birth control until you have your Essure Confirmation Test (3 months after the procedure) and your doctor tells you that you can rely on Essure for birth control. For some women, it can take longer than three months for Essure to be effective, requiring a repeat confirmation test at 6 months. Talk to your doctor about which method of birth control you should use during this period. Women using an intrauterine device need to switch to another method. If you rely on Essure for birth control before receiving confirmation from your doctor, you are at risk of getting pregnant.
WARNING: Be sure you are done having children before you undergo the Essure procedure. Essure is a permanent method of birth control.
During the procedure: In clinical trials some women experienced mild to moderate pain (9.3%). Your doctor may be unable to place one or both Essure® inserts correctly. In rare cases, part of an Essure insert may break off or it may puncture the fallopian tube requiring surgery to repair. If breakage occurs, your doctor may remove the piece or let it leave your body during your period. Your doctor may recommend a local anesthetic. Ask your doctor about the risks associated with this type of anesthesia.
Immediately following the procedure: In clinical trials some women experienced mild to moderate pain (12.9%) and/or cramping (29.6%), vaginal bleeding (6.8%), and pelvic or back discomfort for a few days. Some women experienced nausea and/or vomiting (10.8%) or fainting. You should arrange to have someone take you home after the procedure. In rare instances, an Essure insert may be expelled from the body.
During the Essure Confirmation Test: You will be exposed to very low levels of radiation, as with most x-rays. In rare instances, women may experience spotting and/or infection.
Long-term Risks: There are reports of chronic pelvic pain in women possibly related to Essure. An Essure insert may migrate into the lower abdomen and pelvis and may require surgery for removal. No birth control method is 100% effective. Women who have Essure are more likely to have an ectopic pregnancy (pregnancy outside the uterus) if they get pregnant. This can be life-threatening. The Essure insert is made of materials that include a nickel-titanium alloy. Patients who are allergic to nickel may have an allergic reaction to the inserts. Symptoms include rash, itching and hives.
The safety and effectiveness of Essure has not been established in women under 21 or over 45 years old.
Essure does not protect against HIV or other sexually transmitted diseases.
Talk to your doctor about Essure and whether it is right for you.