Levonorgestrel intrauterine device (IUD)
What is this medicine?
LEVONORGESTREL IUD (LEE voe nor jes trel) is a contraceptive (birth control) device. The device is placed inside the uterus by a healthcare professional. It is used to prevent pregnancy. This device can also be used to treat heavy bleeding that occurs during your period.
How should I use this medicine?
This device is placed inside the uterus by a health care professional.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
fever, flu-like symptoms
high blood pressure
no menstrual period for 6 weeks during use
pain, swelling, warmth in the leg
pelvic pain or tenderness
severe or sudden headache
signs of pregnancy
sudden shortness of breath
trouble with balance, talking, or walking
unusual vaginal bleeding, discharge
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
changes in weight
cramping, dizziness, or faintness while the device is being inserted
irregular menstrual bleeding within first 3 to 6 months of use
What may interact with this medicine?
Do not take this medicine with any of the following medications:
This medicine may also interact with the following medications:
barbiturate medicines for inducing sleep or treating seizures
medicines to treat seizures like carbamazepine, ethotoin, felbamate, oxcarbazepine, phenytoin, topiramate
some medicines to treat HIV infection like atazanavir, efavirenz, indinavir, lopinavir, nelfinavir, tipranavir, ritonavir
St. John's wort
What if I miss a dose?
This does not apply. Depending on the brand of device you have inserted, the device will need to be replaced every 3 to 5 years if you wish to continue using this type of birth control.
Where should I keep my medicine?
This does not apply.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
abnormal Pap smear
cancer of the breast, uterus, or cervix
genital or pelvic infection now or in the past
have more than one sexual partner or your partner has more than one partner
history of an ectopic or tubal pregnancy
immune system problems
IUD in place
liver disease or tumor
problems with blood clots or take blood-thinners
use intravenous drugs
uterus of unusual shape
vaginal bleeding that has not been explained
an unusual or allergic reaction to levonorgestrel, other hormones, silicone, or polyethylene, medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular check ups. See your doctor if you or your partner has sexual contact with others, becomes HIV positive, or gets a sexual transmitted disease.
This product does not protect you against HIV infection (AIDS) or other sexually transmitted diseases.
You can check the placement of the IUD yourself by reaching up to the top of your vagina with clean fingers to feel the threads. Do not pull on the threads. It is a good habit to check placement after each menstrual period. Call your doctor right away if you feel more of the IUD than just the threads or if you cannot feel the threads at all.
The IUD may come out by itself. You may become pregnant if the device comes out. If you notice that the IUD has come out use a backup birth control method like condoms and call your health care provider.
Using tampons will not change the position of the IUD and are okay to use during your period.
This IUD can be safely scanned with magnetic resonance imaging (MRI) only under specific conditions. Before you have an MRI, tell your healthcare provider that you have an IUD in place, and which type of IUD you have in place.
July 17, 2018