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

Paragard lasts for up to 10 years, but can be removed any time sooner if you decide to get pregnant.

If you use Paragard for 10 years, it must be removed on or before the 10-year anniversary of placement. You can have a new one placed during that same office visit.

Paragard IUD shown in the hand

Paragard Removal

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.

  • 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