Experiencing issues with Kyleena? A guide to potential side effects and suggested remedies
The Kyleena IUD, a hormonal intrauterine device (IUD), can offer effective contraception for many women. However, like any medical procedure, it comes with potential risks and side effects. Here's what you need to know about the less common but serious side effects of Kyleena.
Uterine and Bladder Perforation
One of the most serious complications is uterine perforation, where the IUD punctures the wall of the uterus during insertion or later migration. Although rare (less than 0.7% incidence), it can require surgical intervention. In some cases, the IUD may also perforate the bladder, causing urinary symptoms such as frequency, hematuria (blood in urine), stone formation, and needing surgery.
IUD Expulsion
IUD expulsion, where the device partially or completely falls out of the uterus, happens in about 2–5% of cases. This can reduce contraceptive effectiveness and cause other complications.
Pelvic Inflammatory Disease (PID)
There is a risk, especially within the first 21 days after insertion, of infection leading to PID, which can be serious if untreated.
Ovarian Cysts and Autoimmune Effects
Hormonal IUDs like Kyleena are associated with an increased risk of ovarian cysts, which can cause pain and other symptoms. Emerging research suggests that use of levonorgestrel IUDs (like Kyleena and Mirena) may be linked to a significantly increased risk of developing autoimmune diseases such as rheumatoid arthritis.
Bacterial Vaginosis and Dysbiosis
Some women experience vaginal bacterial imbalances likely triggered by the IUD, which can cause chronic unpleasant symptoms like a fishy odor and burning urination.
Mental Health Changes
The hormonal component can cause mood swings, depressed mood, or nervousness in some users.
Common Side Effects
Less serious but common side effects include irregular spotting and bleeding, especially in the first 3–6 months after insertion.
What to Do if You Experience Symptoms
If you experience new or worsening pain or bleeding, tell your doctor to determine whether Kyleena is the cause. If you have symptoms of sepsis, seek immediate medical attention. Symptoms of perforation may include pelvic pain or vaginal bleeding, but not always.
If you're breastfeeding or planning to do so, talk with your doctor to determine whether Kyleena is safe to use while you're breastfeeding. They can also recommend other forms of birth control that may be safer for you.
Before you take Kyleena, talk with your doctor about your health history to ensure it's the right treatment for you. There aren't any known interactions between alcohol and Kyleena, but consuming alcohol during Kyleena use could make side effects worse.
If you suspect an allergic reaction, call your doctor right away. For serious symptoms, call 911 or your local emergency number. Regular follow-up with a healthcare provider is advised to monitor IUD position and symptoms. Any severe pain, heavy irregular bleeding, fever, or signs of infection should prompt immediate medical evaluation.
- The Kyleena IUD, a form of contraception, has potential serious side effects such as uterine perforation during insertion or migration, which might necessitate surgery.
- In some cases, the IUD might not only perforate the uterus but also the bladder, leading to symptoms like frequent urination, blood in urine, stone formation, and the need for surgery.
- Another concerning issue is IUD expulsion, where the device partially or completely falls out of the uterus, putting contraceptive effectiveness at risk and potentially causing complications.
- There's a risk of acquiring a serious Pelvic Inflammatory Disease (PID) within the first 21 days after insertion if there's an untreated infection.
- Moreover, hormonal IUDs, like Kyleena, are linked to an increased risk of ovarian cysts and emerging research suggests they may be associated with a significantly higher risk of developing autoimmune diseases such as rheumatoid arthritis.
- Regular skin-care, mental-health, sexual-health, health-and-wellness, and women's-health check-ups are advisable for monitoring IUD position and symptoms, as well as for early detection and treatment of any potential complications.
