"*5 month update* i&#039;ve had kyleena for about 5 months now. i posted a review before. since then i still have a) never had a period, barely spotting. b) acne has seemed to calm down (back acne was bad at first out of nowhere) i have noticed once or twice every couple months i will wake up and have pretty intense cramping, sweats nausea that comes and goes in waves. feels like a painful awful hangover.. but i&#039;ll take it over any other bc side effects. still really recommend kyleena."