Active substance: LEVONORGESTREL

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Package leaflet:
Information for the user
Patient's name:
Doctor's name:
Doctor's phone number:
Date of insertion:
Date of removal:
First check-up visit:
Next visits:


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Read all of this leaflet carefully before
you start using this medicine because it
contains important information for you.
OOKeep this leaflet. You may need to read it
OOIf you have any further questions, ask
your doctor or nurse.
OOThis medicine has been prescribed for you
only. Do not pass it on to others.
OO If you get any side effects, talk to your
doctor or nurse. This includes any possible
side effects not listed in this leaflet.
What is in this leaflet:
1. What Jaydess is and what it is used for
2. What you need to know before you use
3. How to use Jaydess
4. Possible side effects
5. How to store Jaydess
6. Contents of the pack and other
1. What Jaydess is and what it is used for
Jaydess is used for the prevention of
pregnancy (contraception) for up to three
Jaydess is a T‑shaped intrauterine delivery

system (IUS) which after placement inside
the womb slowly releases a small amount
of the hormone levonorgestrel.

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Jaydess works by reducing the monthly
growth of the lining of the womb and
thickening the cervical mucus. These
actions prevent the sperm and egg from
coming into contact and so prevent
fertilization of an egg by sperm.
2. What you need to know before you use
General notes
Before you can begin using Jaydess, your
healthcare professional will ask you some
questions about your personal health history.
In this leaflet, several situations are
described where Jaydess should be
removed, or where the reliability of Jaydess
may be decreased. In such situations you
should either not have sex or you should
use a condom or another barrier method.
Jaydess, like other hormonal contraceptives,
does not protect against HIV infection (AIDS)
or any other sexually transmitted disease.
Jaydess is not suitable for use as an
emergency contraceptive (postcoital
Do NOT use Jaydess if you:
OOare pregnant (see section "Pregnancy,
breast‑feeding and fertility")
OOcurrently have a pelvic inflammatory
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disease (PID; infection of the female
reproduction organs) or have had this
condition multiple times in the past
OOhave conditions associated with increased
susceptibility to pelvic infections
OOhave an infection in the lower genital
tract (an infection in the vagina or the
cervix [neck of the womb])
OOhave had an infection of the womb after
delivery of a child, after an abortion
or after miscarriage during the past 3
OOcurrently have cell abnormalities in the
OOhave cancer or suspected cancer of the
cervix or womb
OOhave tumors which are sensitive to
progestogen hormones to grow, e.g.
breast cancer
OOhave unexplained vaginal bleeding
OOhave an abnormality of the cervix or
womb including fibroids that distort the
cavity of the womb
OOhave an active liver disease or liver tumor
OOare allergic to levonorgestrel or any of
the other ingredients of this medicine
(listed in section 6).

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Warnings and precautions
Talk to your healthcare professional
before using Jaydess if you:
OOhave diabetes. There is generally no need
to alter your diabetic medication while
using Jaydess, but this may need to be
checked by your healthcare professional
OOhave epilepsy. A fit (seizure) can occur
during placement or removal
OOhave had an ectopic or extrauterine
pregnancy (pregnancy outside the womb)
in the past.
In addition, also talk to your healthcare
professional if any of the following
conditions exist before you use Jaydess
or appear for the first time while using
OOmigraine, with visual disturbances or
other symptoms which may be signs of
a transient cerebral ischemia (temporary
blockage of the blood supply to the
OOexceptionally severe headache
OOjaundice (a yellowing of the skin, whites
of the eyes and/or nails)
OOmarked increase of blood pressure
OOsevere disease of the arteries such as
stroke or heart attack.


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The following signs and symptoms could
mean that you may have an extrauterine
pregnancy and you should see your
healthcare professional immediately (see
also section “Pregnancy, breast feeding
and fertility”):
OOYour menstrual periods have stopped and
then you start having persistent bleeding
or pain
OOYou have pain in your lower abdomen
that is severe or persistent
OOYou have normal signs of pregnancy, but
you also have bleeding and feel dizzy.
OOYou have a positive pregnancy test.
Contact your healthcare professional
promptly if any of the following occur
(see also section 4):
OOsevere pain (like menstrual cramps) or
heavy bleeding after placement or if you
have pain/bleeding which continues for
more than a few weeks. This may be for
example a sign of infection, perforation
or that Jaydess is not in the correct
OOyou no longer feel the threads in your
vagina. This may be a sign of expulsion.
You can check by gently putting a finger
into your vagina and feeling for the
threads at the end of your vagina near opening of your womb (cervix). Do
not pull the threads because you may
accidentally pull out Jaydess. Avoid
intercourse or use a barrier contraceptive

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(such as condoms) until your healthcare
professional has checked that the IUS is
still in position.
OOyou or your partner can feel the lower
end of Jaydess. Avoid intercourse until
your healthcare professional has checked
that the IUS is still in position.
OOyour partner feels the removal threads
during intercourse.
OOyou think you may be pregnant
OOyou have persistent abdominal pain,
fever, or unusual discharge from the
vagina, which may be a sign of infection.
OOyou feel pain or discomfort during sexual
intercourse, which may be for example
a sign of infection, ovarian cyst or that
Jaydess is not in the correct position.
OOthere are sudden changes in your
menstrual periods (for example, if you
have little or no menstrual bleeding, and
then you start having persistent bleeding
or pain, or you start bleeding heavily),
which may be a sign of Jaydess not being
in the correct position or expelled.
Use of sanitary pads is recommended. If
tampons are used, you should change them
with care so as not to pull the threads of


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Children and adolescents
The use of Jaydess in women under the age
of 18 has not been studied. Jaydess is not
indicated for use before the first menstrual
bleeding (menarche).
Other medicines and Jaydess
Tell your healthcare professional if you are
taking, have recently taken or might take
any other medicines.
Pregnancy, breast-feeding and fertility
Jaydess must not be used during pregnancy.
Some women may not have their periods
while using Jaydess. Not having a period
is not necessarily a sign of pregnancy.
If you do not have your period and have
other symptoms of pregnancy you should
see your healthcare professional for an
examination and have a pregnancy test.
If you have not had a period for six weeks
and are concerned, then consider having
a pregnancy test. If this is negative, there
is no need to carry out another test unless
you have other signs of pregnancy.
If you become pregnant with Jaydess in
place, you should see your healthcare
professional immediately to have Jaydess
removed. There is a risk of spontaneous
miscarriage if Jaydess is removed during

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If you leave Jaydess in place during
pregnancy, the risk of having a miscarriage,
infection or preterm labour will be increased.
Talk with your healthcare professional about
the risks of continuing the pregnancy.
If you want to become pregnant you should
contact your healthcare professional to
have Jaydess removed.
Extrauterine pregnancy
(pregnancy outside the womb)
It is uncommon to become pregnant while
using Jaydess. However, if you become
pregnant while using Jaydess, the risk that the
pregnancy could develop outside the womb
(have an extrauterine or ectopic pregnancy)
is increased. Women who have already had
an extrauterine pregnancy, surgery of the
fallopian tubes or a pelvic infection carry
a higher risk for this type of pregnancy. An
extrauterine pregnancy is a serious condition
which calls for immediate medical attention
(see section 2, "Warnings and precautions for
signs and symptoms") and may impact future
You can use Jaydess during breast‑feeding.
Levonorgestrel (the active ingredient
in Jaydess) has been identified in small
quantities in the breast milk of breast‑
feeding women. However, no negative
effects have been seen on infant growth
and development or the amount or the
quality of the breast milk.


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Your usual level of fertility will return after
Jaydess is removed.
Driving and using machines
Jaydess has no influence on the ability to
drive or use machines.
3. How to use Jaydess
Placement of Jaydess
Jaydess can either be placed:
OOwithin seven days from the start of your
menstrual bleed (your monthly period)
OOimmediately after a first trimester
abortion provided that there are no
genital infections
OOafter giving birth only after the womb
has returned to its normal size, and not
earlier than 6 weeks after delivery.
Examination by your healthcare provider
before placement may include:
OOa cervical smear test (Pap smear)
OOexamination of the breasts
OO other tests, e.g. for infections, including
sexually transmitted diseases, as necessary.
Your healthcare professional will also do
a gynecological examination to determine
the position and size of the womb.

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After a gynaecological examination:

OO an instrument called a speculum is placed

into the vagina, and the cervix may be
cleansed with an antiseptic solution.
Jaydess is then placed into the womb using
a thin, flexible plastic tube (the placement
tube). Local anaesthesia may be applied to
the cervix prior to placement
OO some women feel dizzy or faint during
placement or after Jaydess is placed or
OO you may experience some pain and
bleeding during or just after placement.
Follow-up control
You should have your Jaydess checked 4‑6
weeks after placement, and thereafter
regularly, at least once a year.
Removal of Jaydess
Jaydess should be removed no later than
the end of the third year of use.
Jaydess can be easily removed at any time
by your healthcare professional, after
which pregnancy is possible. Some women
feel dizzy or faint during or after Jaydess is
removed. You may experience some pain
and bleeding during removal of Jaydess.
If pregnancy is not desired, Jaydess6
not be removed after the seventh day of the

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menstrual cycle (monthly period) unless
you use other methods of contraception
(e.g. condoms) for at least seven days
before the IUS removal.
In the case you do not have periods
(menses), you should use a barrier method
of contraception for seven days before
A new Jaydess can also be placed
immediately after removal, in which case
no additional protection is needed.
4. Possible side effects
Like all medicines, this medicine can cause
side effects, although not everybody gets
them. The following is a list of possible side
effects by how common they are:
Very common side effects: may affect
more than 1 in 10 people

Common side effects: may affect up to 1 in
10 people

mood / depression


sick (nausea)
genital tract infection
OOpainful menstruation
OObreast pain / discomfort
OOdevice expulsion (complete and partial) ‑
(see also following section on expulsion)
OOhair loss
OOgenital discharge

Uncommon side effects: may affect up to
1 in 100 people

body hair


Rare side effects: may affect up to 1 in
1,000 people




/ pelvic pain
/ greasy skin
OObleeding changes including increased
and decreased menstrual bleeding,
spotting, infrequent periods and absence
of bleeding (see also following section on
irregular or infrequent bleeding)
OOovarian cyst (see also following section
on ovarian cyst)
OOinflammation of the external genital
organs and vagina (vulvovaginitis)
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of the womb (see also
following section on perforation)

Description of selected possible side
OOallergic reactions including rash, hives
(urticaria) and angioedema (characterised
by sudden swelling of e.g. the eyes,
mouth, throat) have been reported with
similar products
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Irregular or infrequent bleeding
Jaydess is likely to affect your menstrual
cycle. It can change your menstrual periods
so that you have spotting (a small amount of
bleeding), shorter or longer periods, lighter or
heavier bleeding, or no bleeding at all.
You may have bleeding and spotting
between menstrual periods, especially
during the first 3 to 6 months. Sometimes
the bleeding is heavier than usual at first.
Overall, you are likely to have a gradual
reduction in the amount and number of
days of bleeding each month. Some women
eventually find that periods stop altogether.
The monthly thickening of the lining of the
womb may not happen due to the effect of
the hormone and therefore there is nothing
to come or shed away as a menstrual period.
It does not necessarily mean that you have
reached menopause or are pregnant. Your
own hormone levels usually remain normal.
When the system is removed, your period
should soon return to normal.
Pelvic Infection
The Jaydess inserter and Jaydess itself are
sterile. Despite this, there is an increased
risk of pelvic infection (infections in the of the womb or the fallopian tubes)
at the time of placement and during the
first 3 weeks after the placement.
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Pelvic infections in IUS users are often
related to the presence of sexually
transmitted diseases. The risk of infection
is increased if you or your partner have
multiple sexual partners or if you have had
pelvic inflammatory disease (PID) before.
Pelvic infections must be treated promptly.
Pelvic infections such as PID may have
serious consequences and it may impair
fertility and increase the risk of a future
extrauterine pregnancy (pregnancy outside
the womb). Jaydess must be removed if you
experience recurring PID or if an infection is
severe or does not respond to treatment.
The muscular contractions of the womb
during menstruation may sometimes
push the IUS out of place or expel it. It is
rare but possible for Jaydess to come out
during your menstrual period without you
It is also possible for your Jaydess to
partially expel from your womb, meaning
that it is displaced but not completely
expelled (you and your partner may notice
this during sexual intercourse). If Jaydess
is completely or partially expelled, you will
not be protected from pregnancy. 8

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Penetration or perforation of the wall of the
womb may occur rarely during placement
of Jaydess, although the perforation may
not be detected until some time later.
If Jaydess becomes lodged outside the
cavity of the womb, it is not effective
at preventing pregnancy. You may need
surgery to have Jaydess removed.
The risk of perforation may be increased:
OOif Jaydess is placed shortly after giving
birth (see section 3 "Placement of
OOin women with the uterus leaning
backwards (fixed retroverted uterus)
OOin lactating (breast‑feeding) women.
Ovarian cyst
Since the contraceptive effect of Jaydess is
mainly due to its local effect in the womb,
ovulation (release of the egg) usually
continues while using Jaydess. Sometimes
an ovarian cyst may develop. In most cases
there are no symptoms.
An ovarian cyst may require medical
attention, or more rarely surgery, but it
usually disappears on its own.
If you get any side effects, talk to your
doctor or nurse. This includes any side
effects not listed in this leaflet.

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5. How to store Jaydess
This medicinal product does not require any
special storage conditions.
Keep this medicine out of the sight and
reach of children.
Do not open the blister. Only your doctor or
nurse should do this.
Do not use this medicine after the expiry
date which is stated on the carton and the
blister after EXP. The expiry date refers to
the last day of that month.
6. Contents of the pack and other
What Jaydess contains
The active substance is levonorgestrel.
The intrauterine delivery system contains
13.5 mg levonorgestrel.
The other ingredients are:
OOpolydimethylsiloxane elastomer
OOsilica, colloidal anhydrous
OObarium sulfate
OOiron oxide, black (E172)
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What Jaydess looks like and contents of
the pack
Jaydess is a T‑shaped intrauterine delivery
system (IUS). The vertical arm of the
T‑body carries a drug reservoir containing
levonorgestrel. Two removal threads are
tied to the loop at the lower end of the
vertical arm. In addition, the vertical stem
contains a silver ring located close to the
horizontal arms, which is visible under
ultrasound examination.

Germany, Hungary, Iceland, Ireland, Italy,
Luxembourg, Malta, The Netherlands,
Norway, Poland, Portugal, Romania, Slovak
Republic, Slovenia, Spain, Sweden, United
Kingdom: Jaydess
‑ Estonia, Latvia, Lithuania: Fleree
This leaflet was last revised in
December 2012.

Pack size:
intrauterine delivery system.
OO5x1 intrauterine delivery system.
Not all pack sizes may be marketed.

Marketing Authorisation Holder and
Bayer plc
Bayer House
Strawberry Hill
Berkshire, RG14 1JA
This medicinal product is authorised in
the Member States of the EEA under the
following names:


‑ Austria, Belgium, Bulgaria, Czech
Republic, Denmark, Finland, France,
I41207937_Jaydess_81248397.indd 18-19

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First, open the sterile package completely. Then use aseptic technique and
sterile gloves.


Figure 1

Jaydess 13.5 mg intrauterine
delivery system


To be inserted by a healthcare provider
using aseptic technique.

Preparation for insertion
R Examine the patient to establish the
size and position of the uterus, in order
to detect any signs of acute genital
infections or other contraindications
for the insertion of Jaydess. If there is
any doubt regarding pregnancy, a
pregnancy test should be performed.
R Insert a speculum, visualize the
cervix, and then thoroughly cleanse
the cervix and vagina with a suitable
antiseptic solution.

Employ an assistant as necessary.

R Grasp the anterior lip of the cervix
with a tenaculum or other forceps
to stabilize the uterus. If the uterus
is retroverted, it may be more appropriate to grasp the posterior lip of the
cervix. Gentle traction on the forceps
can be applied to straighten the
cervical canal. The forceps should
remain in position and gentle counter
traction on the cervix should be
maintained throughout the insertion
R Advance a uterine sound through
the cervical canal to the fundus to
measure the depth and confirm the
direction of the uterine cavity and to
exclude any evidence of intrauterine
abnormalities (e.g., septum, submucous fibroids) or a previously inserted
intrauterine contraceptive which has
not been removed. If difficulty is
encountered, consider dilatation of
the canal. If cervical dilatation is
required, consider using analgesics
and/or a paracervical block.


Figure 7

Holding the inserter in place,
release Jaydess by pulling the slider
all the way down. While holding the
slider all the way down, gently remove
the inserter by pulling it out. Cut the
threads to leave about 2-3 cm visible
outside of the cervix.

1.5 - 2.0 cm

Jaydess is supplied within an inserter
in a sterile package, which should not
be opened until needed for insertion.
Do not resterilise. As supplied, Jaydess
is for single use only. Do not use if the
blister is damaged or open. Do not
insert after the expiry date which is
stated on the carton and the blister
after EXP.
Any unused product or waste material
should be disposed of in accordance
with local requirements.

Figure 4

While holding the
slider in the furthest position,
advance the inserter through
the cervix until the flange
is approximately 1.5-2.0 cm
from the uterine cervix.



Insertion tube
with plunger
and scale


Handle with
threads inside

Figure 2

Push the
slider forward
in the direction
of the arrow to
the furthest position
to load Jaydess into
the insertion tube.

IMPORTANT! Do not force the
inserter. Dilate the cervical
canal, if necessary.


While holding the
inserter steady, pull the
slider to the mark to
open the horizontal arms
of Jaydess. Wait 5 -10
seconds for the horizontal
arms to open completely.

Figure 5

IMPORTANT! Should you suspect that the system is not in the correct position, check
placement (e.g. with ultrasound). Remove the system if it is not positioned properly
within the uterine cavity. A removed system must not be re-inserted.

Removal/ replacement
For removal/ replacement, please consult the Summary of Product Characteristics
for Jaydess.

IMPORTANT! Do not pull
the slider downwards as
this may prematurely release
Jaydess. Once released, Jaydess
cannot be re-loaded.


Holding the
slider in the furthest
position, set the upper
edge of the flange to
correspond to the sound
measurement of the
uterine depth.

Jaydess is removed by
pulling on the threads with
a forceps.

Figure 8

You may insert a new
Jaydess immediately
following removal.
After removal of Jaydess,
the system should be
examined to ensure
that it is intact.

Figure 3


Figure 6

Advance the inserter
gently towards the fundus
of the uterus until the
flange touches the cervix.
Jaydess is now in the
fundal position.


Expand view ⇕

Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.