You feel part of the device at your cervix or in your vagina.The strings are missing or suddenly seem longer.You have breakthrough bleeding or bleeding after sex.It's also important to contact your health care provider immediately if you think your ParaGard is no longer in place. While you're using ParaGard, contact your health care provider immediately if you have: After the procedureĪbout a month after ParaGard is inserted, your health care provider may re-examine you to make sure the device hasn't moved and to check for signs and symptoms of infection. If this complication occurs, your health care provider will discuss the appropriate management. Rarely, it's possible for the IUD to perforate the uterine wall or cervix. Your health care provider will likely suggest that you stay lying down for a few minutes to allow these side effects to pass. Your health care provider will trim ParaGard's strings so that they don't protrude too far into the vagina and may record the length of the strings.ĭuring ParaGard insertion, you may experience dizziness, fainting, nausea, low blood pressure or a slower than normal heart rate. When the applicator tube is removed, ParaGard will remain in place. The tube is inserted into your cervical canal and ParaGard is carefully placed in your uterus. Next, your health care provider will fold down ParaGard's horizontal arms and place the device inside an applicator tube. A special instrument might be used to gently align your cervical canal and uterine cavity. Your health care provider will insert a speculum into your vagina and clean your vagina and cervix with an antiseptic solution. ParaGard is typically inserted in a health care provider's office. Short strings connected to the device extend beyond the cervix into the vagina and allow for device removal. The ParaGard IUD can remain in place in your uterus for up to 10 years. Taking a nonsteroidal anti-inflammatory drug, such as ibuprofen (Advil, Motrin IB, others), one to two hours before the procedure can help reduce cramping.
You may have a pregnancy test to confirm you're not pregnant, and you may be screened for STIs.
If you just had a baby, your doctor might recommend waiting about eight weeks after delivery before inserting ParaGard.īefore inserting ParaGard, your health care provider will evaluate your overall health and do a pelvic exam. ParaGard can be inserted anytime during a normal menstrual cycle. Had the IUD inserted immediately after childbirth.You may be more likely to expel ParaGard if you: You might not feel the expulsion if it occurs. It's also possible to expel ParaGard from your uterus. Severe menstrual pain and heavy bleeding.
Side effects associated with ParaGard include: ParaGard doesn't offer protection from sexually transmitted infections (STIs). But because ParaGard prevents most pregnancies, the overall risk of having an ectopic pregnancy is lower than it is for sexually active women who don't use contraception. If you do conceive while using ParaGard, you're at high risk of an ectopic pregnancy - when the fertilized egg implants outside the uterus, usually in a fallopian tube. Over time, risk of pregnancy in women who use ParaGard remains low. Less than 1 percent of women who use ParaGard will get pregnant in the first year of typical use.
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