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Study Information

KYSS: a different perspective on nulliparous women

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  2. Product information
  3. Kyleena®
  4. KYSS
  • Efficacy
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KYSS – The Kyleena Satisfaction Study - provides real-world evidence on Kyleena® satisfaction.

The study confirms high satisfaction rates of women using Kyleena®, as well as a favorable placement experience by the HCP. You can find more detailed information on KYSS below. Use the tabs to scroll through insights on the relevance of Real World Evidence, the study, the HCP and patient perspective as well as safety information.

    Why Real World Evidence matters
    Title

    KYSS: providing valuable insights into Kyleena® satisfaction

    Women’s satisfaction is an important aspect in ensuring contraceptive continuation.1 Although widely used, methods such as COCs or condoms are associated with poor compliance and continuation, which can put women at risk of unintended pregnancies.2,3

     

    Recent years have seen IUS increase in popularity among both HCPs and women,1,4,5 giving added importance to real-world studies into IUS satisfaction.

     

    The Kyleena® Satisfaction Study (KYSS) is the first study to assess women’s satisfaction with Kyleena® in a real-world setting.6 Its insights into Kyleena® satisfaction can help to address the misperceptions around IUS use, particularly in nulliparous women, and help shape your conversations with patients who would benefit from IUS contraception.

     

    Highlight the high satisfaction rates from KYSS to your patients during contraceptive counselling

     

    COC – combined oral contraceptive; HCP – healthcare professional; IUS – intrauterine system; KYSS – Kyleena® Satisfaction Study

    • Merki-Feld GS et al. Eur J Contracept Reprod Health Care 2018;23:183–193. Return to content
    • Brynhildsen J. Ther Adv Drug Saf 2014;5(5):201–213. Return to content
    • Pinter B. Eur J Contracept Reprod Health Care 2002;7(3):178–183. Return to content
    • Gemzell-Danielsson K et al. Contraception 2012;86(6):631–638. Return to content
    • Nelson AL and Massoudi N. Open Access J Contracept 2016;7:127–141. Return to content
    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content
    Title

    A real-world perspective on Kyleena®

    Real-world studies are able to cover the diversity of patients and clinical scenarios seen in routine clinical practice, providing insights that are impossible to obtain during clinical trials.1,2

     

    KYSS was designed to assess real-world evidence on Kyleena® satisfaction.3

     

    Women’s interest in intrauterine systems is increasing.4-6 Consider mentioning KYSS satisfaction data when counselling your patients on what they should expect with Kyleena®

     

    KYSS – Kyleena® Satisfaction Study

    • Berger ML et al. Value in Health 2017;20(8):1003–1008. Return to content
    • Heikinheimo O et al. Eur J Contracept Reprod Health Care 2017;22:250–259. Return to content
    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    • Gemzell-Danielsson K et al. Contraception 2012;86(6):631–638. Return to content
    • Nelson AL and Massoudi N. Open Access J Contracept 2016;7:127–141. Return to content
    • Merki-Feld GS et al. Eur J Contracept Reprod Health Care 2018;23:183–193. Return to content
    Current Next Next Next Next
    Next
    Learn about KYSS
    Title

    KYSS: one of the most recent real-world studies in the field of contraception

    Title

    Key study details:1

     

    • KYSS is a prospective, multinational, single-arm, observational study
    • Kyleena® placement was attempted in 1,129 women and successful in 1,126 women
    • 8 countries were enrolled
    • 51.9% (n=584) of women were nulliparous
    • 67.1% (n=756) were 18–35 years of age
    • 32.9% (n=371) of women used an oral HC as their previous method*
    More information
    hidden link for autofocus

    KYSS baseline demographics:1

     

    FAS

    Belgium
    (N=100)

    Canada
    (N=99)

    Germany
    (N=506)

    Mexico
    (N=20)

    Norway
    (N=100)

    Spain
    (N=102)

    Sweden
    (N=100)

    USA
    (N=99)

    Total
    (N=1,126)

    Age, mean (SD)

    27.5 (8.8)

    24.2 (7.0)

    32.3 (8.8)

    30.5 (7.3)

    29.7 (8.8)

    36.2 (6.8)

    28.1 (8.1)

    26.4 (7.3)

    30.4 (8.9)

    Age, n (%) ≤17

    4 (4.0)

    11 (11.1)

    5 (1.0)

    0 (0.0)

    3 (3.0)

    0 (0.0)

    2 (2.0)

    3 (3.0)

    28 (2.5)

    18–25

    51 (51.0)

    56 (56.6)

    135 (26.7)

    5 (25.0)

    39 (39.0)

    9 (8.8)

    51 (51.0)

    54 (54.5)

    400 (35.5)

    26–35

    24 (24.0)

    23 (23.2)

    181 (35.8)

    11 (55.0)

    31 (31.0)

    34 (33.3)

    24 (24.0)

    29 (29.3)

    356 (31.6)

    >35

    21 (21.0)

    9 (9.1)

    185 (36.6)

    4 (20.0)

    27 (27.0)

    59 (57.8)

    23 (23.0)

    14 (14.1)

    342 (30.4)

    BMI, mean (SD)

    23.3 (3.6)

    24.4 (4.4)

    24.5 (4.8)

    23.6 (2.7)

    24.3 (4.7)

    23.6 (3.9)

    23.2 (5.0)

    26.9 (6.3)

    24.4 (4.8)

    Parity, n (%)

     

     

     

     

     

     

     

     

     

    Parous

    31 (31.0)

    12 (12.1)

    305 (60.3)

    7 (35.0)

    44 (44.0)

    73 (71.6)

    42 (42.0)

    28 (28.3)

    542 (48.1)

    Nulliparous

    69 (69.0)

    87 (87.9)

    201 (39.7)

    13 (65.0)

    56 (56.0)

    29 (28.4)

    58 (58.0)

    71 (71.7)

    584 (51.9)

     

    BMI – body mass index; FAS – full analysis set; KYSS – Kyleena® Satisfaction Study; SD – standard deviation

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content

    KYSS: designed to reflect the patients you are likely to see in your daily practice1

    • Either a COC or a POP.1 Return to content

    COC – combined oral contraceptive; HC – hormonal contraception; KYSS – Kyleena® Satisfaction Study;

     

    POP – progestogen-only pill

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Title

    Want to explore KYSS data in more detail? The final study results are available for download

    A recent real-world study in the field of contraception, KYSS, has provided valuable insight into women’s and HCPs’ experience with Kyleena®.1 You can download the final study results and explore the data in detail.

     

    Download the full KYSS publication

     

    Here

     

    HCP – healthcare professional; KYSS – Kyleena® Satisfaction Study

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Previous
    Previous Current Next Next Next
    Next
    The HCP Perspective
    Title

    Kyleena®: a favorable placement experience for HCPs, regardless of women’s parity*1

    Ease of placement by HCPs
    Alt tag

    91.0%

    of Kyleena®
    placements were
    rated easy
    by HCPs1

    Ease of placement in nulliparous women
    hidden link for autofocus

    HCP-rated ease of placement – nulliparous women:1

     

    HCP-rated ease of placement - nulliparous women
    Alt tag

    89.9%
    easy

    8.5%
    slightly difficult

    1.6%
    very difficult

    Nulliparous women
    (N=574)

     

    HCP – healthcare professional

    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content
    Ease of placement in parous women
    hidden link for autofocus

    HCP-rated ease of placement – parous women:1

     

    HCP-rated ease of placement - parous women
    Alt tag

    92.2%
    easy

    7.1%
    slightly difficult

    0.7%
    very difficult

    Parous women
    (N=536)

     

    HCP – healthcare professional

    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content

    You can expect most Kyleena® placements to be straightforward, irrespective women’s parity

    • Results from a baseline analysis of the KYSS data, conducted to evaluate demographics, ease of placement assessed by investigators, pain at placement rated by women, additional interventions for placement, and adverse events. A total of 1,110 women (574 nulliparous, 536 parous) from 7 countries were included in this analysis.1 Return to content

    HCP – healthcare professional; KYSS – Kyleena® Satisfaction Study

    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content
    Title

    You can counsel your patients interested in Kyleena® with real-world satisfaction data from KYSS

    KYSS provided real-world insight into women’s Kyleena® satisfaction, based on their parity, age, previous contraception, motivation for choosing Kyleena®, and country of residence.1

     

    Discover the wealth of real-world patient satisfaction data from KYSS

     

    Here

     

    KYSS – Kyleena® Satisfaction Study

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Title

    Want a positive placement experience for you and your patients?

    The Insertion Training Page contains a range of supportive materials to help you guide your patients through the placement process.

     

    Visit the Insertion Training Page for support and tools

     

    Here
    Previous
    Previous Previous Current Next Next
    Next
    The Patient perspective
    Title

    KYSS: women’s motivations for choosing Kyleena® go beyond reliable efficacy1

    While high contraceptive reliability is important, women have other reasons for choosing Kyleena®.

     

    Title

    Women’s top four reasons for choosing Kyleena®:1

     

    • No daily, weekly, or monthly contraceptive routine: 34.3% (n=386)
    • High contraceptive reliability: 26.8% (n=302)
    • Low-hormone dose: 25.9% (n=292)
    • Expectation of shorter, lighter, and less frequent bleeding episodes: 18.6% (n=209)
    More information
    hidden link for autofocus

    Women’s main reasons for choosing Kyleena®:1

     

    Women’s main reasons for choosing Kyleena
    Alt tag

    Women (%)

    0

    10

    20

    30

    40

    50

    FAS (N=1,126)

    No daily,
    weekly, or
    monthly
    contraceptive
    routine

    High
    contraceptive
    reliability

    Low-
    hormone
    dose

    Expectation
    of shorter,
    lighter, and
    less frequent
    bleeding
    episodes

    Acts mainly
    locally

    Estrogen-
    free
    contraception

    Small size

    Minimal
    drug
    interaction

    Other

    34.3
    (n=386)

    26.8
    (n=302)

    25.9
    (n=292)

    18.6
    (n=209)

    9.9
    (n=111)

    6.9
    (n=78)

    5.1
    (n=57)

    2.1
    (n=24)

    6.0
    (n=67)

     

    FAS – full analysis set

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content

    Women select Kyleena® for a number of reasons. Consider counselling them on how Kyleena® can meet their individual contraceptive needs

     

    KYSS – Kyleena® Satisfaction Study

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Title

    Kyleena®: high satisfaction rates, regardless of parity and age1

    Satisfaction was similarly high for both parous and nulliparous women*1

     

    Satisfaction by parity data
    Title

     

    Satisfaction was high across all age groups:*

     

    Satisfaction by age data

    Reassure your patients that parity and age should not impact Kyleena® satisfaction

    • Results shown represent women who reported being “very satisfied” or “somewhat satisfied” with Kyleena® at the end of the final visit.1 Return to content

    KYSS – Kyleena® Satisfaction Study

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Title

    Most women were satisfied with Kyleena®, no matter their…1

    …Previous contraception:

    Previous contraception
    Previous contraception
    Previous contraception – satisfaction data
    hidden link for autofocus

    Women’s satisfaction with Kyleena® by previous contraceptive method:1

     

    Women’s satisfaction with Kyleena by previous contraceptive method

    * COCs or POPs.

    † Long-acting preparations include other methods apart from hormonal and non-hormonal IUS (e.g. depot-MPA or monthly contraceptive injection).

     

    COC – combined-oral contraceptive; HC - hormonal contraceptive; IUD – intrauterine device; IUS intrauterine system; MPA – medroxyprogesterone; POP – progestogen-only pill

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Title

     

    …Motivation for choosing Kyleena®:

    Motivation for choosing Kyleena
    Motivation for choosing Kyleena® – satisfaction data
    hidden link for autofocus

    Women’s satisfaction by motivation for choosing Kyleena®:1

     

    Women’s satisfaction by motivation for choosing Kyleena
    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Country of residence – satisfaction data
    hidden link for autofocus

    Women’s satisfaction with Kyleena® per country of residence1

     

    Women’s satisfaction with Kyleena per country of residence
    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content

    Discuss how Kyleena® meets your patients’ needs no matter their previous contraception and motivation for choosing Kyleena®

     

    IUD – intrauterine device; IUS – intrauterine system

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Title

    Kyleena® demonstrated a high level of satisfaction with the bleeding profile in KYSS1

    Bleeding profile satisfaction is important, as it can significantly impact women’s quality of life.2-4

     

    Bleeding profile data
    More information
    hidden link for autofocus

    Kyleena® had few discontinuations due to bleeding-related adverse events in KYSS:1

     

    Bleeding-related events
    SAF n, (%)

    Total
    (N=1,129)

    Total discontinuation due to bleeding profile

    18 (1.6)

    Menorrhagia

    3 (0.3)

    Menstrual disorder

    1 (0.09)

    Irregular menstruation

    1 (0.09)

    Metrorrhagia

    4 (0.4)

    Polymenorrhea

    1 (0.09)

    Uterine hemorrhage

    5 (0.4)

    Vaginal hemorrhage

    3 (0.3)

     

    SAF – safety analysis set

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content

    Discuss the high level of bleeding profile satisfaction seen in KYSS with your patients

     

    KYSS – Kyleena® Satisfaction Study

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    • Schoep ME et al. BMJ Open 2019;9(6):026186. Return to content
    • Schoep ME et al. AM J Obstet Gynecol 2019;220(6):569. Return to content
    • Sveinsdóttir H. J Clin Nurs 2018;27(3–4):e503–e513. Return to content
    Title

    Kyleena®: a favorable placement experience for women, regardless of parity*1

    Misconceptions about IUS placement may be a barrier to its use among parous and nulliparous women,2-4 but the real-world evidence from KYSS can bring confidence to your patients.1

     

    77.7% of Kyleena® placements were associated with no or mild pain.1

     

    Placement experience in nulliparous women
    hidden link for autofocus

    Placement experience in nulliparous women:1

     

    Placement experience in nulliparous women
    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content
    Placement experience in parous women
    hidden link for autofocus

    Placement experience in parous women:1

     

    Placement experience in parous women
    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content

    Reassure both your parous and nulliparous patients that most Kyleena® placements are associated with no or mild pain1

     

    IUS – intrauterine system; KYSS – Kyleena® Satisfaction Study

    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content
    • Black K et al. Eur J Contracept Reprod Health Care 2012;17(5):340–348. Return to content
    • Daniele MAS et al. Reprod Health 2017;14:119. Return to content
    • Akdemir Y and Karadeniz M. Eur J Contracept Reprod Health Care 2019;24(3):240–245. Return to content
    • Results from a baseline analysis of the KYSS data, conducted to evaluate demographics, ease of placement assessed by investigators, pain at placement rated by women, additional interventions for placement, and adverse events. A total of 1,110 women (574 nulliparous, 536 parous) from 7 countries were included in this analysis.1 Return to content
    Title

    Real-world placement experience data: now available to help you address women’s questions about Kyleena® placement

    KYSS provided real-world insight into HCPs’ experience of Kyleena® placement.1

     

    In addition, KYSS investigated patient-rated insertion pain, in both nulliparous and parous women.1

     

    Find out how HCPs and patients experienced the placement of Kyleena®

     

    Here

     

    HCP – healthcare professional; KYSS – Kyleena® Satisfaction Study

    • Beckert V et al. Eur J Contracept Reprod Health Care 2020;25:182–189. Return to content
    Previous
    Previous Previous Previous current Next
    Next
    Safety information
    Title

    KYSS: study discontinuation rates1

     

    SAF n, (%)

    Total
    (N=1,129)

    Kyleena® still in use at planned End of Observation

    919 (81.4)

    Kyleena® discontinued before planned End of Observation

    210 (18.6)

    Discontinuation due to TEAEs

    69 (6.1)

    Discontinuation due to TESAEs

    4 (0.4)

    Primary reason for discontinuation

     

    Unsuccessful Kyleena® placement attempt

    3 (0.3)

    Lost to follow-up

    105 (9.3)

    Expulsion of Kyleena®

    6 (0.5)

    Removal of Kyleena®

    94 (8.3)

    – (Serious) adverse event

    62 (5.5)

    – Pregnancy

    3 (0.3)

    – Wish for pregnancy

    11 (1.0)

    – Switch contraceptive methods

    6 (0.5)

    – Dissatisfaction with Kyleena®

    9 (0.8)

    – Investigator decision

    1 (0.09)

    Not specified

    0 (0.0)

     

    Reassure your patients that in KYSS, Kyleena® discontinuation due to adverse events was seen in 6% of women1

     

    KYSS – Kyleena® Satisfaction Study; SAF – safety analysis set; TEAE – treatment-emergent adverse event; TESAE – treatment-emergent serious adverse event

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Title

    Less than 20% of women experienced adverse events with Kyleena® in KYSS1

    Of 1,129 women in the SAF:1

    Percentage of women who reported TEAEs or TESAEs
    Alt tag

    81.5% (n=920)
    reported no TEAEs
    or TESAEs

    16.9% (n=191)
    reported a TEAE*

    1.6% (n=18)
    reported a TESAE

    Title

    Kyleena® had few discontinuations due to TEAEs and TESAEs in KYSS:

     

    6.1 (n=69) and 0.4% (n=4) of women discontinued Kyleena® due to TEAEs and TESAEs, respectively.1

     

    More information
    hidden link for autofocus

    Reproductive system disorders and gastrointestinal disorders were the most common TEAEs:1

     

    Study drug related TEAEs (cut-off >5 patients)
    SAF n, (%)

    Total (N=1,129)

    Number of patients with at least one such AE

    138 (12.2)

    Reproductive system and breast disorders

    89 (7.9)

    Vaginal hemorrhage

    21 (1.9)

    Dysmenorrhea

    11 (1.0)

    Menorrhagia

    11 (1.0)

    Pelvic pain

    10 (0.9)

    Uterine hemorrhage

    10 (0.9)

    Metrorrhagia

    9 (0.8)

    Ovarian cyst

    7(0.6)

    Gastrointestinal disorders

    29 (2.6)

    Abdominal pain (lower)

    16 (1.4)

    Abdominal pain

    10 (0.9)

    Psychiatric disorders

    13 (1.2)

    Skin and subcutaneous tissue disorders

    13 (1.2)

    Acne

    9 (0.8)

    Nervous system disorders

    10 (0.9)

    Infections

    9 (0.8)

    Product issues

    6 (0.5)

     

    AE – adverse event; SAF – safety analysis set; TEAE – treatment-emergent adverse event

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print]. Bayer (data on file). Clinical Study Report 19186. 2020 Return to content

    Counsel your patients on the low rates of adverse events seen with Kyleena®

    • Reproductive system disorders and gastrointestinal disorders were the most common TEAEs. Return to content

    KYSS – Kyleena® Satisfaction Study; SAF – safety analysis set; TEAE – treatment-emergent adverse event; TESAE – treatment-emergent serious adverse event

    • Stovall DW et al. Eur J Contracept Reprod Health Care 2021 [DOI: 10.1080/13625187.2021.1975268. Online ahead of print] Return to content
    Previous
    Previous Previous Previous Previous Current

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