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When to Contact Your Doctor Contact your healthcare provider if you experience any of the following while using Skyla : heavy or prolonged bleeding lasting more than a week severe pelvic pain or cramping fever or chills , which may signal infection signs of device expulsion , such as feeling the IUD in the vagina severe headaches, vision changes, or chest pain symptoms of an allergic reaction , such as rash or trouble breathing Prompt communication with a healthcare professional can help address problems early and ensure your birth control remains safe and effective

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