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How do I check the threads of the Paragard IUD?



You should check that Paragard is in the right place by feeling the threads once a month. Your healthcare provider should teach you how to do this during your placement appointment.

  1. Start by washing your hands with soap and water.
  2. Reach up to the top of your vagina with clean fingers to feel the 2 threads. Do not pull on the threads.

If you feel changes in the length of the threads, you cannot feel the threads, or you can feel any other part of Paragard other than the threads, Paragard may not be in the right place and may not prevent pregnancy. If this happens, use back-up birth control and call your healthcare provider right away.

Learn More About Paragard

What to Expect? Back to all Questions
  • 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