 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  If you wish to continue this method of birth control after 5 years, the used device may be removed and replaced with a new one. Either way, the used device should be removed after 5 years. Your health care provider can remove this device whenever you want to stop using this method of birth control.The side effects of Kyleena Intrauterine: Pain, bleeding, or dizziness during and after placement of the device may occur. Cramps, irregular menstrual periods, and vaginal bleeding between periods (spotting) may occur, especially during the first few weeks of use. Headache, nausea, breast tenderness, or weight gain may also occur. If any of these effects last or get worse, tell your doctor promptly. After your body adjusts to this product, it is normal to have fewer bleeding days during your menstrual periods, and some women stop having periods altogether. This will not affect your ability to become pregnant after stopping use of this product. Remember that this medication device has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this device do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: stomach/abdominal pain, vomiting, </s>