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Skyla Dosage

With Skyla, the dosage is the same for everyone, regardless of age or weight. This product comes as a small plastic device that is inserted into the uterus. Your healthcare provider will insert the device, where it can remain for up to three years. The device is usually inserted within seven days after your period starts.

An Introduction to Dosing With Skyla

There is only one standard dose of Skyla™ (levonorgestrel-releasing intrauterine system), regardless of your age or weight. As is always the case, do not adjust your dose unless your healthcare provider specifically tells you to do so.

What Is the Recommended Skyla Dose?

The usual Skyla dosage for birth control is one Skyla device, inserted into the uterus, once every three years. You will likely need a physical exam before Skyla is inserted. Your healthcare provider may also want to do tests to make sure you are not pregnant, and to make sure you don't have a genital infection before you start using the medication.  
Each Skyla device contains 13.5 mg of the hormone levonorgestrel. The amount of levonorgestrel released by the device progressively decreases over a period of three years, such that it is releasing about 14 micrograms (mcg) of levonorgestrel per day after 24 days, and about 5 mcg per day after 3 years.
When it is time to insert Skyla, your healthcare provider will first examine your pelvis, to determine the size, shape, and position of your uterus, and then cleanse your cervix and vagina with an antiseptic solution. Your healthcare provider will use a slim plastic tube that contains Skyla to place the medication. The plastic tube will be inserted into your vagina, through your cervix, and then into your uterus. Once Skyla is in place, the plastic tube will be removed, leaving Skyla in your uterus.
Your healthcare provider will cut the Skyla threads to the right length. You will not be able to feel the device in your body, but will be able to feel the threads at the top of your vagina with your fingers. You should check the threads each month, to make sure Skyla is still in place. Your healthcare provider can explain more about how to do this.
Do not pull on the threads, as doing so may displace the device. Your healthcare provider will use the threads to remove the device after three years (or earlier if you desire). 
You will need to be reexamined four to six weeks after Skyla is inserted, and then once a year. This is to make sure Skyla is properly in place, and that there are no problems.
Skyla can be removed at any time, but must be removed after three years of use. Ideally, the device should be removed sometime during your menstrual period. If you desire continued birth control with Skyla, your healthcare provider will need to remove the old device and insert a new one. If you want to start a different type of birth control after Skyla, you should either:
  • Have Skyla removed during the first seven days of starting your menstrual period and start the new method after Skyla is removed, or 
  • Start the new birth control method at least seven days before Skyla is removed.
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Skyla Birth Control Information

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