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IUD and Inserter Specifications

Kyleena® features the smallest T-body available in a 5-year IUD

Graphic shows measurements of a Kyleena® (levonorgestrel-releasing intrauterine system) 19.5 mg IUD T-body (28 mm x 30 mm) and inserter (3.8 mm diameter).

IUD=intrauterine device.

Ease of insertion with Kyleena

Prospective, non-interventional, multinational single-arm cohort study at 12 sites in 99 women with different or no previously used contraceptive methods (including women without previous contraception forming one of the subgroups), who had already decided to use Kyleena. The primary endpoint was met, which was to evaluate overall satisfaction with Kyleena in subgroups of women with different previously used contraceptive methods and different motivations for choice of Kyleena. Data shown are from secondary study endpoints, ease of insertion as assessed by investigators and pain at insertion as assessed by women, and are from US insertions only.2-4

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90% of 99 IUD insertions were rated as “easy” by investigators. 7% rated as “slightly difficult”. 3% rated as “very difficult”.

Ease of insertion was a secondary endpoint, assessed by investigator at initial visit as easy, slightly difficult, or very difficult. There were 24 patients who reported at least 1 adverse event in the US.2,5


Insertion considerations
Insertion may be associated with some pain and/or bleeding or vasovagal reactions (for example, syncope, bradycardia) or with seizure, especially in patients with a predisposition to these conditions. Consider administering analgesics prior to insertion.1

98% of women (n=99) rated pain at IUD insertion as none to moderate at initial visit. 27% rated none, 46% rated mild, 25% rated moderate and 2% rated severe.

Pain at insertion was a secondary endpoint, assessed at initial visit based on the categories none, mild, moderate, or severe.2


Counsel on insertion pain
Let your patients know that pain is a common side effect. Patients may experience pain, bleeding, or dizziness during and after placement. If symptoms don’t pass within 30 minutes after placement, Kyleena may not have been placed correctly. The HCP should examine whether or not Kyleena will need to be removed or replaced.1

Counsel patients to check their threads once a month. Reexamine and evaluate patients 4 to 6 weeks after insertion and once a year thereafter, or more frequently if clinically indicated.1

HCP=healthcare provider; US=United States.


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