Copper IUD (ParaGard) – Mayo Clinic

Overview

Copper IUD (ParaGard)

ParaGard photo

Copper IUD (ParaGard)

The copper IUD ( ParaGard ) contains no hormones and prevents pregnancy for up to 10 years .
ParaGard is an intrauterine device ( IUD ) that can provide long-run parentage master ( contraception ). It ‘s sometimes referred to as a nonhormonal IUD choice .
The ParaGard device is a t-shaped fictile frame that ‘s inserted into the uterus. Copper telegram coiled around the device produces an inflammatory reaction that is toxic to sperm and eggs ( ova ), preventing pregnancy.

ParaGard is the only copper IUD available in the United States. It can prevent pregnancy for up to 10 years after interpolation .

Why it’s done

ParaGard offers effective, long-run contraception. It can be used in premenopausal women of all ages, including teenagers .
Among diverse benefits, ParaGard :

  • Eliminates the need to interrupt sex for contraception
  • Can remain in place for up to 10 years
  • Can be removed at any time
  • Can be used while breast-feeding
  • Doesn’t carry the risk of side effects, such as blood clots, related to hormonal birth control methods
  • Can be used for emergency contraception if inserted within five days after unprotected sex

ParaGard is n’t allow for everyone. Your health care provider may discourage use of ParaGard if you :

  • Have uterine abnormalities — such as large fibroids — that interfere with the placement or retention of ParaGard
  • Have a pelvic infection, such as pelvic inflammatory disease
  • Have uterine or cervical cancer
  • Have unexplained vaginal bleeding
  • Are allergic to any component of ParaGard
  • Have a disorder that causes too much copper to accumulate in your liver, brain and other vital organs (Wilson’s disease)

Risks

Less than 1 percentage of women who use ParaGard will get meaning in the first class of typical use. Over time, hazard of pregnancy in women who use ParaGard remains depleted .
If you do conceive while using ParaGard, you ‘re at gamey risk of an ectopic pregnancy — when the fertilized egg implants outside the uterus, normally in a fallopian metro. But because ParaGard prevents most pregnancies, the overall risk of having an ectopic pregnancy is lower than it is for sexually active women who do n’t use contraception .
ParaGard does n’t offer security from sexually transmitted infections ( STIs ) .
side effects associated with ParaGard include :

  • Bleeding between periods
  • Cramps
  • Severe menstrual pain and heavy bleeding

It ‘s besides possible to expel ParaGard from your uterus. You might not feel the extrusion if it occurs .
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 25
  • Had the IUD inserted immediately after childbirth

How you prepare

ParaGard can be inserted anytime during a convention menstrual bicycle. If you just had a baby, your doctor might recommend waiting about eight weeks after delivery before inserting ParaGard.

Before inserting ParaGard, your health care supplier will evaluate your overall health and do a pelvic examination. You may have a pregnancy test to confirm you ‘re not meaning, and you may be screened for STIs .
Taking a nonsteroid anti-inflammatory drug, such as ibuprofen ( Advil, Motrin IB, others ), one to two hours before the operation can help reduce cramping .

What you can expect

ParaGard placement

ParaGard IUD in place in the uterus

ParaGard placement

The ParaGard IUD can remain in set in your uterus for up to 10 years. short strings connected to the device extend beyond the cervix into the vagina and allow for device removal .
ParaGard is typically inserted in a health care provider ‘s position .

During the procedure

Your health care provider will insert a speculum into your vagina and clean your vagina and neck with an antiseptic solution. A limited musical instrument might be used to gently align your cervical canal and uterine cavity. adjacent, your health care provider will fold down ParaGard ‘s horizontal arms and station the device inside an applicator tube .
The tube is inserted into your cervical canal and ParaGard is cautiously placed in your uterus. When the applicator tube is removed, ParaGard will remain in place. Your health care supplier will trim ParaGard ‘s strings so that they do n’t protrude excessively far into the vagina and may record the distance of the strings .
During ParaGard insertion, you may experience dizziness, faint, nausea, depleted lineage pressure or a slower than normal heart rate. Your health manage provider will likely suggest that you stay lying down for a few minutes to allow these side effects to pass. rarely, it ‘s potential for the IUD to perforate the uterine wall or neck. If this complication occurs, your health worry supplier will discuss the appropriate management .

After the procedure

About a month after ParaGard is inserted, your health caution supplier may re-examine you to make certain the device has n’t moved and to check for signs and symptoms of infection .
While you ‘re using ParaGard, contact your health care provider immediately if you have :

  • Signs or symptoms of pregnancy
  • Unusually heavy vaginal bleeding
  • Foul vaginal discharge
  • Worsening pelvic pain
  • Severe abdominal pain or tenderness
  • Unexplained fever
  • Possible exposure to an STI

It ‘s besides important to contact your health worry supplier immediately if you think your ParaGard is no longer in place. Call your doctor of the church if :

  • You have breakthrough bleeding or bleeding after sex
  • Sex is painful for you or your partner
  • The strings are missing or suddenly seem longer
  • You feel part of the device at your cervix or in your vagina

Your health worry provider will check the placement of ParaGard and remove it if necessity.

Removal

ParaGard is normally removed in a health care supplier ‘s office. Your supplier will likely use forceps to grasp the device ‘s strings and lightly pull. The device ‘s arms will fold up as it ‘s withdrawn from the uterus .
light run and cramp are park during removal. rarely, removal can be more complicate .

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