• Contraception

Skyla Generic Name & Formulations

General Description

Levonorgestrel 13.5mg; intrauterine system.

Pharmacological Class

Progestin IUD.

How Supplied



Generic Availability


Skyla Indications


Prevention of pregnancy for up to 3yrs.

Skyla Dosage and Administration


See full labeling. Insert into uterine cavity as directed. Reexamine and evaluate 4–6wks after insertion; then yearly or more if needed. Remove or replace after 3yrs.


Pre-menarche: not indicated.

Skyla Contraindications


Post-coital contraception. Congenital or acquired uterine anomaly including fibroids. Acute or history of pelvic inflammatory disease (PID) unless there has been a subsequent intrauterine pregnancy. Postpartum endometritis or infected abortion in past 3 months. Uterine or cervical neoplasia. Breast or other progestin-sensitive cancer. Uterine bleeding of unknown etiology. Untreated acute cervicitis or vaginitis. Active liver disease or tumor. Conditions associated with increased susceptibility to pelvic infections. Retained IUD. Pregnancy.

Skyla Boxed Warnings

Not Applicable

Skyla Warnings/Precautions


Evaluate for ectopic pregnancy. Risk of spontaneous abortion, miscarriage, sepsis, premature labor or delivery, congenital anomalies: remove if pregnant. Consider risks of PID before using. Bleeding pattern alterations: exclude endometrial pathology prior to insertion in women with persistent bleeding. Risk of perforation, expulsion, and ovarian cysts. Increased risk of perforation in women recently given birth, who are breastfeeding, ≤6 weeks postpartum, if inserted in women with fixed retroverted or not completely involuted uteri. Consider removal if coagulopathy, migraine, transient cerebral ischemia, severe headache, marked increase in BP, severe arterial disease, uterine/cervical malignancy, jaundice, or symptomatic actinomycosis occurs. May be scanned with MRI under specific conditions. Nursing mothers.

Skyla Pharmacokinetics

See Literature

Skyla Interactions


Caution with anticoagulants; consider removal.

Skyla Adverse Reactions

Adverse Reactions

Bleeding pattern alterations, vulvovaginitis, abdominal/pelvic pain, acne/seborrhea, ovarian cyst, headache/migraine, dysmenorrhea/uterine spasm; ectopic pregnancy, intrauterine pregnancy, sepsis, PID, perforation, expulsion.

Skyla Clinical Trials

See Literature

Skyla Note

Not Applicable

Skyla Patient Counseling

See Literature