Skyla for birth control
Skyla is a type of intrauterine device, also known as an IUD. But what is that, exactly?
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.
Skyla is an IUD that releases a low dose of hormones and is over 99% effective at preventing pregnancy for up to 3 years.
- No daily pills, monthly refills, or trips to the pharmacy. You should make sure Skyla is in place with a monthly self-check. Your healthcare provider can show you how
- Made of soft, flexible plastic
- Completely reversible and can be removed by your OB/GYN at any time if you change your mind, so you can try to get pregnant right away
- It may be smaller than you think (Actual size: 1.18”)
Skyla is FDA-approved and can be used whether or not you have had a child. It is available by prescription only.
How does Skyla work?
Skyla releases small amounts of a progestin hormone locally into your uterus at a slow and continuous rate. It is estrogen-free and works continuously for up to 3 years.
Skyla thickens your
cervical mucus, inhibits
sperm movement, reduces
sperm survival and thins the
lining of your uterus. These
actions work together to
Because Skyla is in your uterus, not your vagina:
- You can still use tampons
- You shouldn’t be able to feel it
- You and your partner should not feel it during sex. If this happens, your OB/GYN may be able to help
- You should make sure Skyla is in place with a monthly self-check. Your OB/GYN can show you how
Some common side effects include:
- Pain, bleeding or dizziness: These symptoms may occur during and after placement. If they do not stop within 30 minutes, Skyla may not have been placed correctly
- Skyla may come out by itself. This occurs in about 3% of women, and you may become pregnant if this happens. If you think that Skyla may have come out, use a back-up birth control method (such as condoms and spermicide)
- Ovarian cysts: About 14% of women using Skyla develop a cyst on the ovary. These cysts usually disappear on their own in a month or two, but can cause pain and at times require surgery
If you experience any of these side effects or want more information, talk to your OB/GYN.
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Skyla is one of the most effective birth control options. It’s over 99% effective and works continuously for up to 3 years.
Generally the less you have to do, the more effective the birth control method tends to be.
Some serious risk considerations about Skyla:
- Although pregnancy while using Skyla is uncommon (less than 1 in 100), it can be serious. If you think you may be pregnant, call your OB/GYN right away as it could be an ectopic pregnancy (a pregnancy that is not in the uterus). Unusual vaginal bleeding or stomach pain may be a sign of this condition, which can be life threatening, may result in loss of pregnancy or fertility, and can cause internal bleeding. There can also be similar complications if a pregnancy occurs inside the uterus with an IUD in place, and it is important to talk with your OB/GYN to understand your options and risks in this situation. Severe infection, premature delivery and even death can occur with pregnancies that continue with an IUD
- Sepsis (a rare but 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 getting Skyla
- Less than 1% of users get a serious pelvic infection called PID. 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
- Less than 0.1% of users experienced perforation in clinical trials. 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
Skyla (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 3 years.
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 PID.
- If you have persistent pelvic or stomach pain or if Skyla comes out, tell your doctor. If Skyla comes out, use back-up birth control. Skyla may attach to or go through the uterus and cause other problems.
- 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 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.
Indications & Usage
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.
- Don't use Mirena if you have a pelvic infection, get infections easily or have certain cancers. Less than 1% of users get a serious infection called pelvic inflammatory disease. If you have persistent pelvic or abdominal pain, see your healthcare provider.
- Mirena may attach to or go through the wall of the uterus and cause other problems. If Mirena comes out, use back-up birth control and call your healthcare provider.
- Although uncommon, pregnancy while using Mirena 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.
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, are 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.
Talk to your doctor if you are taking immunosuppressants.
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. It can take longer than three months for Essure to be effective. 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. Although uncommon, part of an Essure insert may break off or puncture the fallopian tube requiring surgery to repair the puncture. 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. 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 rare reports of chronic pelvic pain in women who have had Essure. In rare instances, an Essure insert may migrate through the fallopian tubes and may require surgery. 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.