ParaGard

Risks

By Mayo Clinic staff
Side effects associated with ParaGard include:
  • Cramps
  • Severe menstrual pain and heavy bleeding
  • Breakthrough bleeding
  • Nausea
  • Anemia
  • Backache
  • Painful sex
  • Inflammation of the vagina (vaginitis)
  • Vaginal discharge
  • An itchy rash
It's also possible to expel ParaGuard from your uterus. You may be more likely to expel ParaGard if you:
  • Have never been pregnant
  • Have heavy or prolonged periods
  • Have severe menstrual pain
  • Previously expelled an IUD
  • Are younger than age 20
  • Had ParaGard inserted immediately after childbirth or an abortion
ParaGard doesn't offer protection from sexually transmitted infections (STIs).
An estimated 1 out of 100 women who use ParaGard for one year will get pregnant. If you do conceive while using ParaGard, you're at higher risk of an ectopic pregnancy — when the fertilized egg implants outside the uterus, usually in a fallopian tube. Removing ParaGard during pregnancy poses a risk of miscarriage. However, the risks of leaving ParaGard in place during pregnancy are greater, including miscarriage, premature delivery, infection and septic shock.

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