Reported Reactions

Drugs › Progestin

Brand name · Levonorgestrel

Kyleena: adverse event reports filed with FDA

8,075 reports list it as a suspect or interacting product, 2017–2026. Class: Progestin.

8,075
reports as suspect product
0% of all reports · about 851 a year
694
reports, 12 months to June 2026
798 in the 12 months before
40.4%
marked serious by the reporter
41.9% across the class
0.1%
record death among outcomes, as reported
7 reports · not verified by FDA

8,075 adverse event reports received by FDA list the brand name Kyleena (levonorgestrel) as a suspect or interacting product, from January 2017 to June 2026. A further 333 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 694 reports listed it, down 13% from 798 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 851 reports a year and 0% of the 20,646,523 reports in the database, and 2.8% of the reports for the progestin class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded device expulsion (25.3%), device dislocation (18.3%) and complication of device insertion (8%). A report can list several reactions, so shares add to more than 100%; 407 different terms appear across these reports. Device expulsion is recorded in 25.3% of these reports, with no counterpart in the median progestin drug (0%).

40.4% of the reports are marked serious by the reporter (41.9% across the class); 0.1% record death among the outcomes and 5.1% record hospitalisation, as reported. 36% of the reports came from physicians, and the largest patient age group is 18 to 44 (65.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

052103Jul 2021: 85Aug 2021: 80Sep 2021: 85Oct 2021: 78Nov 2021: 69Dec 2021: 722022Jan 2022: 61Feb 2022: 61Mar 2022: 84Apr 2022: 72May 2022: 100Jun 2022: 72Jul 2022: 76Aug 2022: 93Sep 2022: 71Oct 2022: 58Nov 2022: 62Dec 2022: 812023Jan 2023: 63Feb 2023: 73Mar 2023: 93Apr 2023: 65May 2023: 94Jun 2023: 91Jul 2023: 83Aug 2023: 81Sep 2023: 60Oct 2023: 82Nov 2023: 103Dec 2023: 652024Jan 2024: 40Feb 2024: 53Mar 2024: 54Apr 2024: 54May 2024: 54Jun 2024: 56Jul 2024: 99Aug 2024: 96Sep 2024: 47Oct 2024: 64Nov 2024: 70Dec 2024: 792025Jan 2025: 36Feb 2025: 71Mar 2025: 56Apr 2025: 57May 2025: 58Jun 2025: 65Jul 2025: 71Aug 2025: 52Sep 2025: 68Oct 2025: 61Nov 2025: 41Dec 2025: 712026Jan 2026: 38Feb 2026: 52Mar 2026: 61Apr 2026: 49May 2026: 60Jun 2026: 70

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

06551,3102017: 27420172018: 74120182019: 1,03120192020: 1,31020202021: 1,07220212022: 89120222023: 95320232024: 76620242025: 70720252026: 3302026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Kyleena reports recording the termmedian drug in progestin

  1. Device expulsionthe device came out25.3%2,044
  2. Device dislocationthe device moved out of position18.3%1,480
  3. Drug ineffectivethe medicine did not work as expected7.6%617
  4. Procedural painpain from a procedure4.9%394
  5. Ectopic pregnancy with contraceptive device4.1%335
  6. Expired device used2.9%234
  7. Vaginal haemorrhagevaginal bleeding2.4%196
  8. Device breakagethe device broke2.4%195
  9. Uterine perforationa hole in the wall of the womb1.9%157
  10. Post procedural discomfort1.9%154
  11. Abdominal painstomach or belly pain1.8%148
  12. Depressionlow mood1.5%123
  13. Anxietyanxiety1.4%114
  14. Medical device painpain associated with the device1.4%112
  15. Nauseafeeling sick1.4%112
  16. Amenorrhoeaperiods stopped1.4%111
  17. Painpain, site not specified1.4%111
  18. Acneacne1.3%107
  19. Menorrhagiaheavy periods1.3%107
  20. Headachehead pain1.2%97

Top 30 of 407 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 17 drugs in the progestin class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death0.1%7
Life-threatening1.3%101
Hospitalisation (initial or prolonged)5.1%408
Disability1.1%91
Congenital anomaly0.1%7
Other serious36.5%2,950
Not serious59.6%4,809

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 293,492 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%3
2 to 110%2
12 to 175.4%437
18 to 4465.8%5,316
45 to 642%163
65 to 740%1
75 and over0%0
Age not given26.7%2,153

Patient sex

Female99.3%8,021
Male0.5%41
Not given0.2%13

Who reported

Physician36%2,905
Pharmacist6.9%555
Other health professional27.3%2,205
Lawyer0.1%5
Consumer or non-health professional29.5%2,385
Not given0.2%20

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 86.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Contraception5,18464.2%
Intrauterine contraception7068.7%
Intra-uterine contraceptive device insertion1361.7%
Menorrhagia350.4%
Heavy menstrual bleeding330.4%
Dysmenorrhoea130.2%

The indication field is filled in by the reporter and is often blank; shares are of all 8,075 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Kyleena reports
Mirena380.5%
Ibuprofen230.3%
Dupixent190.2%
Sertraline130.2%
Skyla120.1%
Bupropion hydrochloride110.1%
Adderall100.1%
Cytotec90.1%
Humira80.1%
Levothyroxine80.1%

Other products listed in reports where Kyleena is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureKyleenaProgestinAll reports
Reports as suspect product8,075293,49220,646,523
Share of that pool—2.8%0%
Reports, latest 12 months694—1,332,454
Marked serious40.4%41.9%57.4%
Death recorded among outcomes, per 1,000 reports1491
Hospitalisation recorded, per 1,000 reports5152213
Consumer-filed share29.5%46.4%45.8%
Top term, share of reportsDevice expulsion 25.3%median 0%0.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the progestin class

DrugName typeReportsLatest 12 monthsMarked serious
Mirenabrand129,4793,43340.6%
Nexplanonbrand43,75183624.8%
Plan B One-Stepbrand35,3243274.9%
Proverabrand20,4002698.6%
Depo-Proverabrand18,66911,38387.1%
Lilettabrand10,5678508.2%
Medroxyprogesterone acetategeneric8,62181889%
Skylabrand5,31012541.7%
Medroxyprogesteronegeneric3,03016573.8%
Levonorgestrelgeneric2,71121972.2%
Take Actionbrand2,550208.1%
Etonogestrelgeneric2,11225589.7%
Afterabrand818195%
Norethindronegeneric7975252.1%
Norethindrone acetategeneric722835.9%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Kyleena reports

How many adverse event reports has FDA received for Kyleena?

8,075 reports list Kyleena as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 694 of them arrived in the latest 12 months. Another 333 list it only as a concomitant medication.

What reactions are recorded in Kyleena reports?

device expulsion (25.3%), device dislocation (18.3%), complication of device insertion (8%), genital haemorrhage (8%) and drug ineffective (7.6%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Kyleena was responsible.

How serious are the reports?

40.4% are marked serious by the reporter. Among the outcomes recorded, 0.1% of reports include death and 5.1% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

physician (36%), consumer or non-health professional (29.5%) and other health professional (27.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Kyleena rising?

694 reports in the 12 months to June 2026, down 13% from 798 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Kyleena was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Kyleena?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Kyleena as a suspect or interacting product; reports listing it only as a concomitant medication (333) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.