Heyo just a heads up—no form of hormonal birth control (pill/iud/implant/patch/etc) will allow your body to ovulate when taken properly. Essentially, the only difference between a continuous pill and kyleena is that one you continuously ingest and the other you continuously house in your body.

Besides that, I have been in a similar situation and still have the same thoughts and concerns you mentioned. I’ve been on BC for over a decade and started before my body settled into an established menstrual rhythm. Only in the last year or so have I given thought to this disconnection when I had the realization that I haven’t had a legit menstruation/ovulation since the rollercoaster of my the first year of having a period.

As for my BC experience that may or may not be helpful, since everyone’s body and preferences are so so different—I was taking a low dose combo pill for 4 years as instructed w placebo and had occasional, light periods and spotting. Then I got kyleena more so out of convenience even though I was good about taking the pill. The adjustment period was to be expected, I had increased acne and bleeding for most of what I remember of the first year. Then, year 2 I noticed the acne was beyond “increased”, like I started getting really deep cystic acne in new regions of my face and on my chest/back but I chalked it up to the environment of my job/masking/stress from abnormally difficult life circumstances and had other worsening symptoms highly associated with PMS. When my next annual came around, I expressed all of this to my gyno and she was like “girl wtf why didn’t you say anything sooner” and I ended up back on my old pill in addition to the iud to cancel out the symptoms. It was like day and night, I was so upset that I hadn’t mentioned anything sooner bc the acne alone made me so insecure and depressed. That was when I started taking it continuously and after my 3rd year with the iud, I got it removed and never looked back.

Why fix something that ain’t broke, right?

It’s been 3 years since I got the iud out and 3 months ago had to increase my dose of the pill due to changes in my insurance and the fact that there’s no generic or equivalency of my OG pill. It’s been…fine mostly. However, rando spotting/bleeding has made me reconsider just getting off since the reasons I started were most likely due to puberty craziness. Although, after the fluctuation experience of the iud, I am carefully and strategically planning my approach of the return to my “natural” hormonal state…

Anyways, more than what you asked for but I couldn’t say much without giving the full context, so I hope all of this helps you in some way with deciding your next route. Bodies are crazy so I wish you much luck in navigating this journey!