Kyleena IUD and Sexual Side Effects
Hormonal Effects on Sexual Function
- The American College of Obstetricians and Gynecologists acknowledges that hormonal IUDs can cause vaginal dryness, which may lead to dyspareunia, as reported by the Annals of Oncology 1
Vaginal Dryness
- Vaginal dryness is more commonly associated with systemic hormonal changes but can occur with local progestin exposure from IUDs, according to the Journal of the National Comprehensive Cancer Network 2
- Non-hormonal lubricants and moisturizers can be effective first-line treatments for vaginal dryness, as suggested by the Annals of Oncology 1
Management Options
- The Centers for Disease Control and Prevention recommends considering alternative contraceptive options if symptoms of decreased libido are severe and persistent, as stated in the MMWR Recommendations and Reports 3
When to Consider IUD Removal
- The Centers for Disease Control and Prevention suggests considering IUD removal if sexual side effects persist beyond 6 months and significantly impact quality of life despite management attempts, as recommended in the MMWR Recommendations and Reports 3
- The American Academy of Pediatrics notes that the benefits of the IUD, including highly effective contraception and reduced menstrual bleeding, should be weighed against potential side effects, as reported in Pediatrics 4