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Quick Placement Procedure

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

After you and your healthcare provider have decided that Paragard is right for you, make an appointment for placement. If your healthcare professional has Paragard in-office, you may be able to get Paragard placed on the same day.

Paragard IUD shown in the hand

Before Paragard Placement

On the day of your placement appointment, relax and try to calm your nerves and make sure to get plenty of sleep the night before.

Everyone is different, and some women may experience discomfort during or after placement. As Paragard goes in, you may feel cramping or pinching; some women feel faint, nauseated, or dizzy for a few minutes afterward.

During Paragard Placement

To place Paragard, your healthcare provider will:

  • Perform a pelvic exam to find the position of your uterus
  • Cleanse your vagina and cervix using an antiseptic solution
  • Measure the depth of your uterus
  • Insert a thin, flexible plastic tube containing Paragard into your vagina and then into your uterus
  • Remove the tube leaving Paragard inside your uterus and the two threads extending into your vagina
  • Trim the threads so they are just long enough for you to feel when doing a self-check of the threads

Before you leave your healthcare provider’s office:

  • Have your healthcare provider explain how to do a self-check of the threads of your Paragard once a month
  • Schedule a follow-up appointment with your healthcare professional, within 4 to 6 weeks, so they can check to make sure Paragard is still properly placed within your uterus
  • Consider scheduling your annual checkup at the same time so that you don’t forget. Your healthcare provider should check your Paragard once a year as part of a routine physical
Paragard IUD insertion tool

After Paragard Placement

After placement, you shouldn’t be able to feel Paragard in your uterus.
The threads are the only part of Paragard that you should be able to feel so you can do a monthly self-check of the threads.

With Paragard securely in place, you can continue to use tampons and you or your partner shouldn’t be able to feel it during sex.

When Starting to Use Paragard, You May Notice:

In the first 2-3 months:

  • Your period may be heavier and the number of bleeding days may increase
  • You may have frequent spotting or light bleeding

After you have used Paragard for a while:

  • The number of bleeding and spotting days is likely to lessen
  • You will continue to get a monthly period


  • If you miss your period or think you may be pregnant, call your healthcare provider to rule out pregnancy
  • If your period continues to be heavy or long or spotting continues contact your healthcare professional
  • 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