Reported Reactions

Drugs › Progestin

Brand name · Levonorgestrel

Skyla: adverse event reports filed with FDA

5,310 reports list it as a suspect or interacting product, 2013–2026. Class: Progestin.

5,310
reports as suspect product
0% of all reports · about 401 a year
125
reports, 12 months to June 2026
169 in the 12 months before
41.7%
marked serious by the reporter
41.9% across the class
0.1%
record death among outcomes, as reported
3 reports · not verified by FDA

Between April 2013 and June 2026, 5,310 adverse event reports received by FDA list the brand name Skyla (levonorgestrel) as a suspect or interacting product. Reports that mention it only as a concomitant medication (122) are left out of every figure here.

In the 12 months to June 2026, 125 reports listed it, down 26% from 169 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 401 reports a year and 0% of the 20,646,523 reports in the database, and 1.8% 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.

The MedDRA terms listed most often are device expulsion (23.7%), drug ineffective (14.3%) and device dislocation (13.4%). A report can list several reactions, so shares add to more than 100%; 249 different terms appear across these reports. Device expulsion is recorded in 23.7% of these reports, with no counterpart in the median progestin drug (0%).

41.7% of the reports are marked serious by the reporter (41.9% across the class); 0.1% record death among the outcomes and 2.7% record hospitalisation, as reported. 48.4% of the reports came from consumers, and the largest patient age group is 18 to 44 (65.4%). 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

01835Jul 2021: 35Aug 2021: 28Sep 2021: 24Oct 2021: 15Nov 2021: 15Dec 2021: 192022Jan 2022: 14Feb 2022: 14Mar 2022: 17Apr 2022: 12May 2022: 24Jun 2022: 30Jul 2022: 17Aug 2022: 26Sep 2022: 19Oct 2022: 11Nov 2022: 14Dec 2022: 182023Jan 2023: 20Feb 2023: 22Mar 2023: 26Apr 2023: 17May 2023: 16Jun 2023: 16Jul 2023: 18Aug 2023: 13Sep 2023: 10Oct 2023: 26Nov 2023: 19Dec 2023: 162024Jan 2024: 13Feb 2024: 7Mar 2024: 18Apr 2024: 13May 2024: 14Jun 2024: 10Jul 2024: 13Aug 2024: 22Sep 2024: 8Oct 2024: 17Nov 2024: 7Dec 2024: 182025Jan 2025: 12Feb 2025: 13Mar 2025: 14Apr 2025: 13May 2025: 16Jun 2025: 16Jul 2025: 11Aug 2025: 7Sep 2025: 7Oct 2025: 11Nov 2025: 15Dec 2025: 102026Jan 2026: 14Feb 2026: 8Mar 2026: 11Apr 2026: 9May 2026: 9Jun 2026: 13

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

04048072013: 8820132014: 3182015: 65320152016: 7082017: 80720172018: 6632019: 48920192020: 4342021: 34620212022: 2162023: 21920232024: 1602025: 14520252026: 64

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Skyla reports recording the termmedian drug in progestin

  1. Device expulsionthe device came out23.7%1,257
  2. Drug ineffectivethe medicine did not work as expected14.3%757
  3. Device dislocationthe device moved out of position13.4%711
  4. Expired device used5.7%304
  5. Procedural painpain from a procedure5.4%286
  6. Ectopic pregnancy with contraceptive device3.9%206
  7. Vaginal haemorrhagevaginal bleeding3.2%169
  8. Device difficult to usethe device was hard to use2.7%146
  9. Painpain, site not specified2.7%141
  10. Amenorrhoeaperiods stopped2%107
  11. Abdominal painstomach or belly pain2%106
  12. Menorrhagiaheavy periods1.8%98
  13. Abortion spontaneousmiscarriage1.8%97
  14. Post procedural discomfort1.4%75
  15. Nauseafeeling sick1.4%74
  16. Device issuea problem with the device1.3%71
  17. Medical device discomfortdiscomfort associated with the device1.3%69
  18. Uterine perforationa hole in the wall of the womb1.2%66
  19. Haemorrhage in pregnancy1.1%60
  20. Medical device painpain associated with the device1%53
  21. Dyspareunia1%52

Top 30 of 249 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%3
Life-threatening0.8%40
Hospitalisation (initial or prolonged)2.7%143
Disability0.6%31
Congenital anomaly0%2
Other serious39.9%2,118
Not serious58.3%3,097

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 20.1%4
2 to 110%0
12 to 174.7%250
18 to 4465.4%3,472
45 to 641.1%57
65 to 740%1
75 and over0%2
Age not given28.7%1,524

Patient sex

Female99.1%5,260
Male0.8%42
Not given0.2%8

Who reported

Physician22.7%1,205
Pharmacist8.5%452
Other health professional19.5%1,037
Lawyer0%1
Consumer or non-health professional48.4%2,571
Not given0.8%44

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Contraception3,64468.6%
Intrauterine contraception1953.7%
Intra-uterine contraceptive device insertion571.1%
Menorrhagia320.6%
Intra-uterine contraceptive device220.4%
Menstrual cycle management110.2%

The indication field is filled in by the reporter and is often blank; shares are of all 5,310 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Skyla reports
Mirena420.8%
Kyleena150.3%
Ibuprofen110.2%
Cytotec100.2%
Bupropion hydrochloride90.2%
Dupixent90.2%
Zyrtec90.2%
Vitamin d80.2%
Adderall70.1%
Betadine70.1%

Other products listed in reports where Skyla 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

MeasureSkylaProgestinAll reports
Reports as suspect product5,310293,49220,646,523
Share of that pool—1.8%0%
Reports, latest 12 months125—1,332,454
Marked serious41.7%41.9%57.4%
Death recorded among outcomes, per 1,000 reports1491
Hospitalisation recorded, per 1,000 reports2752213
Consumer-filed share48.4%46.4%45.8%
Top term, share of reportsDevice expulsion 23.7%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%
Kyleenabrand8,07569440.4%
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 Skyla reports

How many adverse event reports has FDA received for Skyla?

5,310 reports list Skyla as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 125 of them arrived in the latest 12 months. Another 122 list it only as a concomitant medication.

What reactions are recorded in Skyla reports?

device expulsion (23.7%), drug ineffective (14.3%), device dislocation (13.4%), pregnancy with contraceptive device (11.5%) and genital haemorrhage (9.6%). 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 Skyla was responsible.

How serious are the reports?

41.7% are marked serious by the reporter. Among the outcomes recorded, 0.1% of reports include death and 2.7% 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?

consumer or non-health professional (48.4%), physician (22.7%) and other health professional (19.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Skyla rising?

125 reports in the 12 months to June 2026, down 26% from 169 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 Skyla 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 Skyla?

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 Skyla as a suspect or interacting product; reports listing it only as a concomitant medication (122) 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.