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Important Safety Information

If you have a pelvic infection, get infections easily, or have certain
cancers, don’t use Skyla.
Less than 1% of users get a serious pelvic
infection called pelvic inflammatory disease (PID).
If you have persistent pelvic or stomach pain or
if Skyla comes out, tell your healthcare
provider (HCP)... continue reading below

Frequently Asked Questions

Here are answers to some frequently asked questions about Skyla.

What is an IUD?

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.

Do I have to use Skyla for 3 years?

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.

Should I check that Skyla is in place?

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.

How soon after placement of Skyla should I return to my OB/GYN?

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.

Can I use tampons with Skyla?

Yes. Because Skyla is in your uterus, not your vagina, you can still use tampons. IUD placement

Will my partner be able to feel Skyla during sex?

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.

Does Skyla start working right away?

Your OB/GYN will confirm if you need to use back-up birth control after Skyla is placed.

What if I change my mind and want to try to get pregnant?

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.

Will it hurt to have Skyla placed?

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.

How will Skyla change my periods?

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.

Will my health insurance plan cover 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.

Does Skyla protect against HIV/STDs?

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.

Who should not use Skyla?

You should not use Skyla if you:

  • Are or might be pregnant; Skyla cannot be used as emergency contraception
  • Have had a serious pelvic infection called pelvic inflammatory disease (PID) unless you have had a normal pregnancy after the infection went away
  • Have an untreated pelvic infection now
  • Have had a serious pelvic infection in the past 3 months after a pregnancy
  • Can get infections easily. For example, if you have:
    • Multiple sexual partners or your partner has multiple sexual partners
    • Problems with your immune system
    • Abused/abuse intravenous drugs
  • Have or suspect you might have cancer of the uterus or cervix
  • Have bleeding from the vagina that has not been explained
  • Have liver disease or liver tumors
  • Have breast cancer or any other cancer that is sensitive to progestin (a female hormone), now or in the past
  • Have an intrauterine device in your uterus already
  • Have a condition of the uterus that changes the shape of the uterine cavity, such as large fibroid tumors
  • Are allergic to any components of Skyla, which include levonorgestrel, silicone, polyethylene, silver, silica, barium sulfate or iron oxide

What if I become pregnant while using Skyla?

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.

What are the possible side effects of Skyla?

Skyla can cause serious side effects, including:

  • Pelvic inflammatory disease (PID). Some IUD users get a serious pelvic infection called pelvic inflammatory disease. PID is usually sexually transmitted. You have a higher chance of getting PID if you or your partner have sex with other partners. PID can cause serious problems such as infertility, ectopic pregnancy or pelvic pain that does not go away. PID is usually treated with antibiotics. More serious cases of PID may require surgery. A hysterectomy (removal of the uterus) is sometimes needed. In rare cases, infections that start as PID can even cause death.
    Tell your OB/GYN right away if you have any of these signs of PID: long-lasting or heavy bleeding, unusual vaginal discharge, low abdominal (stomach area) pain, painful sex, chills, or fever.
  • Life-threatening infection. Life-threatening infection can occur within the first few days after Skyla is placed. Call your OB/GYN immediately if you develop severe pain or fever shortly after Skyla is placed.
  • Perforation. Skyla may become attached to (embedded) or go through the wall of the uterus. This is called perforation. If this occurs, Skyla may no longer prevent pregnancy. If perforation occurs, Skyla may move outside the uterus and can cause internal scarring, infection, or damage to other organs, and you may need surgery to have Skyla removed. The risk of perforation is increased if Skyla is inserted while you are breastfeeding.

Common side effects of Skyla include:

  • Pain, bleeding, or dizziness during and after placement. If these symptoms do not stop 30 minutes after placement, Skyla may not have been placed correctly. Your OB/GYN will examine you to see if Skyla needs to be removed or replaced.
  • Expulsion. Skyla may come out by itself. This is called expulsion. Expulsion occurs in about 3 out of 100 women. You may become pregnant if Skyla comes out. If you think that Skyla has come out, use a back-up birth control method like condoms and spermicide and call your OB/GYN.
  • Missed menstrual periods. About 1 out of 16 women stop having periods after 1 year of Skyla use. If you do not have a period for 6 weeks during Skyla use, call your OB/GYN. When Skyla is removed, your menstrual periods will come back.
  • Changes in bleeding. You may have bleeding and spotting between menstrual periods, especially during the first 3 to 6 months. Sometimes the bleeding is heavier than usual at first. However, the bleeding usually becomes lighter than usual and may be irregular. Call your OB/GYN if the bleeding remains heavier than usual or increases after it has been light for a while.
  • Cysts on the ovary. About 14 out of 100 women using Skyla develop a cyst on the ovary. These cysts usually disappear on their own in a month or two. However, cysts can cause pain and sometimes cysts will need surgery.

This is not a complete list of possible side effects with Skyla. For more information, ask your OB/GYN.

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Skyla Indication

Skyla (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 3 years.

Skyla Important Safety Information
  • If you have a pelvic infection, get infections easily, or have certain cancers, don't use Skyla. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
  • If you have persistent pelvic or stomach pain or if Skyla comes out, tell your healthcare provider (HCP). If Skyla comes out, use back-up birth control.
  • Skyla may attach to or go through the uterus (perforation) and cause other problems. The risk of perforation is increased if Skyla is inserted while you are breastfeeding. Talk to your HCP.
  • Pregnancy while using Skyla 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.

Skyla does not protect against HIV or STDs.

Only you and your HCP 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 Indications & Usage

Mirena (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 5 years. Mirena also treats heavy periods in women who choose intrauterine contraception. Mirena is recommended for women who have had a child.

Mirena Important Safety Information
  • If you have a pelvic infection, get infections easily, or have certain cancers, don't use Mirena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
  • If you have persistent pelvic or stomach pain or if Mirena comes out, tell your healthcare provider (HCP). If Mirena comes out, use back-up birth control.
  • Mirena may attach to or go through the uterus (perforation) and cause other problems. The risk of perforation is increased if Mirena is inserted while you are breastfeeding. Talk to your HCP.
  • Pregnancy while using Mirena 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.
    • 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.