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When you are ready to have Paragard removed

Paragard removal is nonsurgical and done by a healthcare provider during a routine office visit in just a few minutes.

When you are ready to have Paragard removed, schedule an appointment with your healthcare provider. If you would like to have your Paragard IUD replaced with a new one during the same visit, let your healthcare provider know in advance.

Paragard IUD shown in the hand

To remove Paragard, your healthcare provider will:

  • Use an instrument to grasp the exposed threads of Paragard and pull downward
  • If desired, your healthcare provider will then insert a new Paragard

Some women experience discomfort during removal; however, the procedure generally takes minutes. In rare cases, Paragard may be hard to remove because it is stuck in the uterus. Surgery may sometimes be needed to remove Paragard.

  • Don’t use Paragard if you have a pelvic infection or certain cancers. Less than 1% of users get a serious infection called pelvic inflammatory disease (PID).
  • 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