If you think you are pregnant, contact your healthcare professional right away. If you are pregnant and Paragard is in your uterus, you may get a severe infection or shock, have a miscarriage or premature labor and delivery, or even die. Because of these risks, your healthcare provider will recommend that you have Paragard removed, even though removal may cause miscarriage.
If you continue a pregnancy with Paragard in place, see your healthcare provider regularly. Contact your healthcare provider right away if you get fever, chills, cramping, pain, bleeding, flu-like symptoms, or an unusual, bad-smelling vaginal discharge. A pregnancy with Paragard in place has a greater-than-usual chance of being ectopic (outside your uterus). Ectopic pregnancy is an emergency that may require surgery. An ectopic pregnancy can cause internal bleeding, infertility, and death. Unusual vaginal bleeding or abdominal pain may be signs of an ectopic pregnancy. The copper in Paragard does not seem to cause birth defects.