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Paragard IUD shown flexed in the hand

How To Do a Paragard Thread Check

  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.

Monthly string check

You should be able to feel the short threads attached to Paragard with your finger.

  • 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