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Can I use the Paragard IUD if I have certain issues or medical conditions?



Before starting Paragard, you should share your full medical history with your healthcare provider to find out if Paragard is right for you.

You should not use Paragard if you:

  • Might be pregnant
  • Have a uterus that is abnormally shaped inside
  • Have a pelvic infection called pelvic inflammatory disease (PID) or have current behavior that puts you at high risk of PID
  • Have had an infection in your uterus after a pregnancy or abortion in the past 3 months
  • Get infections easily
  • Have cancer of the uterus or cervix
  • Have unexplained bleeding from your vagina
  • Have an infection in your cervix
  • Have Wilson’s disease
  • Are allergic to anything in Paragard
  • Already have an IUD in your uterus

 

Before having Paragard placed, tell your healthcare provider if you have any of the conditions listed above, a slow heart beat, dizziness, seizures, recently had a baby or if you are breastfeeding, have AIDS, HIV, or any other sexually transmitted infection.

According to CDC (Centers for Disease Control and Prevention) recommendations, Paragard may be used with no restriction in over 20 preexisting characteristics and medical conditions including but not limited to:

  • Breast cancer (family history, current, past and no evidence of current disease for 5 years)
  • Cystic fibrosis
  • Depression
  • Diabetes
  • Epilepsy
  • Gallbladder disease
  • Headaches including migraines with and without auras and menstrual migraines
  • History of bariatric surgery
  • History of stroke
  • History of high blood pressure during pregnancy
  • Hypertension
  • Inflammatory bowel disease including Ulcerative colitis and Crohn’s disease
  • Ischemic heart disease
  • Liver tumors
  • Lupus
  • Malaria
  • Risk factors for cardiovascular disease including smoking
  • Multiple sclerosis (MS)
  • Ovarian cancer
  • Ovarian cysts
  • Past ectopic pregnancy
  • Thyroid disease
  • Viral hepatitis
  • Valvular heart disease
  • Women with a body mass index (BMI) greater than or equal to 30

For full list of conditions visit the CDC Website.

  • IUDs, including Paragard, have been associated with an increased risk of pelvic inflammatory disease (PID). Don’t use Paragard if you have a pelvic infection, certain cancers, a copper allergy, Wilson’s disease, or PID. Continue reading
  • If you miss a period, have persistent abdominal pain, or if Paragard comes out, tell your healthcare provider (HCP). If it comes out, use back-up birth control. Continue reading