KYLEENA® can be inserted anytime during the cycle if the woman is not pregnant2*
- In women of fertile age, KYLEENA® should be inserted within 7 days of the onset of menstruation
- When inserted within 7 days of the onset of menstruation no backup contraception is needed
- When inserted more than 7 days since menstrual bleeding started, instruct your patient to use a barrier method of contraception or to abstain from vaginal intercourse for the next 7 days to prevent pregnancy
- Consider the possibility of ovulation and conception before using this product
- KYLEENA® can be replaced by a new system at any time during the cycle
- KYLEENA® can be inserted immediately after a first trimester abortion
- Insertions following second trimester abortion should be postponed for a minimum of 6 weeks or until the uterus is fully involuted†
- Postpartum insertions should be postponed until the uterus is fully involuted, and not earlier than 6 weeks after deliveryǂ
* If the healthcare professional can be reasonably certain that the woman is not pregnant, as defined by the World Health Organization.
ƚ If involution is delayed, wait until involution is complete before insertion.
ǂ If involution is substantially delayed, consider waiting until 12 weeks postpartum. In case of a difficult insertion and/or exceptional pain or bleeding during or after insertion, the possibility of perforation should be considered and appropriate steps should be taken, such as physical examination and ultrasound.
