What If I Become Pregnant While Using The Paragard Iud
If you think you are pregnant, contact your healthcare provider right away. If you are pregnant while using Paragard, you may have an ectopic pregnancy which means the pregnancy is not in your uterus. Unusual vaginal bleeding or abdominal pain may be signs of an ectopic pregnancy. Ectopic pregnancy is a medical emergency that often requires surgery it can cause internal bleeding, infertility and even death.
There are also risks if you get pregnant and Paragard is in your uterus. Severe infection, miscarriage, premature delivery, and even death can occur. Because of this, your healthcare provider may try to remove Paragard, even though removing it may cause a miscarriage.
If you continue your pregnancy with Paragard in place, see your healthcare provider regularly. Call your healthcare provider right away if you get flu-like symptoms, fever, chills, cramping, pain, bleeding, vaginal discharge, or fluid leaking from your vagina.
It is not known if Paragard can cause long-term effects on the fetus if it stays in place during a pregnancy.
Paragard Iud Benefits Are:
- It works right after it is inserted.
- Less than 1 in every 100 women who use these devices get pregnant during the first year of using them.
- IUDs are very safe.
- It does not have estrogen.
- Take the IUD out when you want, if you want to get pregnant.
- If you use an IUD for many years, it can cost less overall than many other types of birth control.
- That is because there are no costs after you have it put in.
Q: I Removed My Mirena Iud Two Months Ago How Long Will It Take To Get Pregnant
A: The mirena IUD is a hormone-releasing contraceptive that is placed in the uterus and delivers a small amount of hormone directly to the uterus this form of contraception needs to be placed by a healthcare provider and is effective for up to five years. The mirena IUD is not only a very effective contraceptive but is also beneficial for the treatment of disorders such as abnormal uterine bleeding. The IUD is placed within seven days of the start of the menstrual period and is 99% effective as a contraceptive.
A woman may try to conceive right after the IUD is removed. It takes the average young couple about 4-6 months to conceive and after one year approximately 85-90% of couples will conceive.
All content on this Web site, including medical opinion and any other health-related information, is for informational purposes only and should not be considered to be a specific diagnosis or treatment plan for any individual situation. Use of this site and the information contained herein does not create a doctor-patient relationship. Always seek the direct advice of your own doctor in connection with any questions or issues you may have regarding your own health or the health of others.
Answered by Dr. Melissa Esposito
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First Lets Do A Quick Iud Refresher
There are a few different kinds of IUDs, all of which are implanted inside the uterus to prevent pregnancy and last anywhere from three to 10 years.
Some contain progestin, a synthetic version of the hormone progesterone. It thickens cervical mucus, making it tougher for sperm to get to an egg. It also thins the uterine lining so that even if the sperm did reach an available egg, the fertilized egg would have a hard time implanting.
Hormonal IUDs include:
- Liletta, which is recommended for up to five years
- Skyla, which is recommended for up to three years
Then theres the copper IUD, Paragard, which is the kind Brown says she used. Those work by causing an inflammatory reaction that harms sperm, according to the Mayo Clinic, and theyre recommended for up to 10 years. Thats a full decade of pregnancy prevention when all goes according to planwhich it typically does.
When Can I File An Iud Paragard Lawsuit
If you or your loved ones are harmed by the use of ParaGard IUDs and have permanent damages like organ removal or infertility, you can definitely look for an experienced ParaGard IUD lawsuit lawyer. Depending on the intensity of the damages, the lawyers would analyze the possibility of winning the claims.
To determine the strength of your claim, the attorneys will consider the following factors.
- Grounds for your preference for IUDs over other contraceptive methods
- If you are forced to remove your IUDs as a result of the expulsion
- Complications such as device breakage or migration during removal
- Had increased risk of ectopic pregnancy or unplanned pregnancy
- Infection caused by the device necessitates treatment like surgery
- If permanent damage like organ removal or infertility is caused
- If the IUD is subject to a product recall or safety alert
- Any warnings given on the risk of the implanted IUD
According to the ParaGard IUD lawyers, the women who had encountered issues can pursue the claim for the following injuries.
- Ruptured uterus or cervix
- Inflammations and allergic reactions caused by IUD pieces left in the body
- Missing IUD pieces lodged in organs
- Need for surgery such as hysterectomy, laparoscopy, or laparotomy
- Impossibility to remove the broken pieces
- Death of the victim
- Loss of consortium
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After You Get The Copper Iud You Might Have Worse Periods Than Before And This Effect May Or May Not Last
Lets talk about possible copper IUD side effects. The copper IUD might increase your period pain and bleeding or cause bleeding between periods, the ACOG says. Thats why its not recommended for people with conditions like endometriosis that can already cause heavy and painful periods, Dr. Shirazian says.
Some methods of birth control only seem to make your period worse because theyre not improving it, but the copper IUD can actually drive up bleeding and pain in some people. This is because of the local inflammation it causes in your uterus, Dr. Shirazian says, which can lead to extra irritation and blood.
Everyone is different, and if you experience this copper IUD side effect, its hard to predict how long it will last. The good news is that for many people, this issue goes away or at least decreases after using the IUD for a year, the ACOG says. If youre at all concerned about how your period might change with the copper IUD, this is definitely something to bring up with your doctor.
Are There Any Side Effects From Using The Copper Iud
- When it is first inserted some users have period type cramping that usually settles after a few days.
- Your vaginal bleeding pattern will change. Spotting can occur in the first 3 months. This nearly always settles with time and your regular bleeding pattern will return. For most users, periods are about 50% heavier.
- Sometimes the IUD can fall out. This is more common in the first 3 months of it being inserted.
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How Does It Happen
There are a few reasons pregnancy could occur in people with an IUD. In some cases, a person could become pregnant before the IUD is effective since not all types are effective immediately.
Copper IUDs, like Paragard, protect against pregnancy immediately because the copper changes the environment in the uterus, making it toxic to both the sperm and the egg. This prevents the sperm from reaching the egg and the egg from attaching to the uterine wall.
Hormonal IUDs, like Mirena or Kyleena, take about seven days to start working. These types are generally considered effective immediately if inserted during your period because of where you are in your menstrual and ovulation cycles.
If you have a hormonal IUD inserted, its recommended to use a backup contraceptive method or abstain from intercourse for seven days.
In other cases, pregnancy could occur if the IUD shifts its position. In a small number of people, the IUD may slip partially or entirely out of the uterus . If the IUD shifts, even partly out of position, it will no longer be fully effective at preventing pregnancy.
Another potential way pregnancy can occur is if the IUD remains in your body longer than its recommended expiration date. The amount of time an IUD can stay in and remain effective depends on the type of IUD. The manufacturer recommendations for a few IUDs are:
- Skyla: Up to three years
- Kyleena: Up to five years
- Mirena: Up to seven years
- Paragard: Up to 10 years
Do I Ovulate While Using The Hormonal Iud
Many people who use a hormonal IUD will continue to ovulate. But since the device contains a progestin that disrupts the hormone cycle , there is a possibility the device can impact ovulation, depending on its dosage.
Hormonal IUDs are available with different doses of hormones. The highest dose impacts ovulation more than the lower doses . The effectiveness of an IUD is not impacted by whether or not a user ovulates.
A person using a 52 mg IUD may stop ovulating after the device is implanted. Ovulation can return as the hormonal potency wains .
In the first year, about 45 percent of people using a 52 mg IUD will ovulate.
After four years, about 75 percent of people using a 52 mg IUD will ovulate .
Most people using the 19.5 mg IUD continue to ovulate . In studies, people who use this dosage have normal ovarian function . The same is true with the 13.5 mg IUD .
As long as you replace your IUD on time, changes in ovulation will not impact the risk for pregnancy, because the IUD primarily works through the processes we listed above .
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What Happens If You Want To Continue The Pregnancy
If you choose to continue with the pregnancy, a healthcare professional will likely remove the IUD. This may help reduce the risks of complications, but the pregnancy will still be considered high risk. Most pregnancies with IUDs in place result in ectopic pregnancy or miscarriage.
Still, it is possible to deliver a healthy baby if the embryo is viable. Your healthcare professional will help you choose the best options for your health and the fetus.
You Can Actually Use The Copper Iud As Emergency Contraception
Many people dont realize this, but the copper IUD is an effective form of emergency contraception as long as its inserted within five days after unprotected sex, according to the ACOG. A 2012 meta-analysis published in the journal Human Reproduction looked at 42 studies and found that the copper IUD had a pregnancy rate of only 0.09% when it was used as a form of emergency contraception.
The copper IUD causes inflammation in the uterine lining and may prevent implantation of the developing embryo, Dr. Worly explains.
Of course, this isnt necessarily the most convenient form of emergency contraception. If you werent planning on getting an IUD, pill-based forms might make more sense for you depending on how easily youre able to access them versus an intrauterine device.
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What Happens If You Do Become Pregnant While Paragard Is Inserted
If you do become pregnant with Paragard in place, and the egg has implanted itself in the lining of your uterus, then you are at an increased risk of miscarriage, sepsis, premature labor, and premature delivery.
You should go to your doctor straight away and get Paragard removed if the strings are visible or can be retrieved however, the success of this depends on how far along your pregnancy already is. Research has shown the risk of miscarriage is up to 27% when the IUD was removed compared with 77% if the IUD was left in place.
Leaving Paragard in place if you become pregnant increases your risk of spontaneous abortion, septic abortion, septicemia, septic shock, premature labor, premature delivery, a hysterectomy or permanent infertility, or death.
If Paragard cannot be removed or if you choose not to have it removed, you will need to monitor yourself and report immediately to your doctor any flu-like symptoms, fever, chills, cramping, pain, bleeding, vaginal discharge, or leakage of fluid, or any other symptom that suggests complications of the pregnancy.
Women who are already pregnant should not have Paragard inserted because it may cause adverse pregnancy outcomes.
- Contraceptive failure in the United States Contraception. 2011 May 83: 397404. doi:10.1016/j.contraception.2011.01.021.
Your Insurance May Cover The Full Cost Of The Iud Which Is Good Since It Can Be Upwards Of $1000
Depending on your insurance provider, the out-of-pocket copper IUD costs can be up to $1,300, which includes the fees for the device itself and any costs associated with insertion .
Most insurance companies currently cover these costs in full due to the Affordable Care Act, though that may change in the future. If you have insurance, call your insurer to verify if they cover the costs of getting an IUD. If you dont have insurance or your insurance doesnt cover birth control as much as youd hope, use this tool from the Office of Population Affairs to see if you can find a Title X family planning clinic near you. These clinics receive government funding to provide affordable family planning services like birth control, which can be really helpful if you dont have insurance to cover this.
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Types Of Pregnancy With An Iud
If your IUD fails, the doctor will find out which type of pregnancy you have:
- Intrauterine pregnancy: This is a normal pregnancy in your uterus where your baby will grow for 9 months.
- Ectopic pregnancy: The embryo tries to grow outside your uterus. It usually happens in your fallopian tubes, which carry eggs to your ovaries and then to your uterus. You can also get an ectopic pregnancy in your ovaries, abdomen, or cervix. A pregnancy in one of these areas canât grow normally. Doctors will end an ectopic pregnancy to protect you from possible bleeding that could put your life at risk.
Since IUDs prevent pregnancies in your uterus, youâre more likely to have an ectopic pregnancy than a regular pregnancy. But this doesnât mean youâre at a higher risk for ectopic pregnancies in general just because you have an IUD.
How Much Does The Paragard Claim Worth
We cant count the chickens until they hatch. The IUD ParaGard lawsuits are still in their early stages, making it difficult to predict the outcome. Based on the outcomes of previous similar mass tort litigations, expert attorneys could estimate the ParaGard IUD lawsuit settlement amounts. The IUD ParaGard lawsuits would be classified into tiers based on the severity of the injuries and damages. Plaintiffs suffering from permanent and irreparable harm would be assigned to a higher tier and receive a larger settlement amount. Those who do not have permanent injuries but are in pain and suffering would be in the lower tier and would receive the smallest share.
The weakest cases with lack of evidence will be removed from the MDL to ensure that the plaintiffs who had faced more damages get valuable compensation. Lets see the speculated settlement amount in the different tiers.
Though you cannot completely rely on the speculated settlement, the attorneys guarantee that the plaintiffs will receive a high reparation. The ParaGard IUD settlement could result in the largest payout in American history for a product liability claim.
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Does The Age Of An Iud Matter
An IUD can work for years before you need to replace it. But eventually it expires. Using an expired IUD may raise your risk of pregnancy.
In most cases, a copper IUD can last for up to 12 years. A hormonal IUD can last for up to 3 years or longer, depending on the specific brand you use.
Ask your doctor when you should have your IUD removed and replaced.
If you have an IUD, contact your doctor if you:
- want to become pregnant
- think you might be pregnant
- suspect that your IUD has slipped out of place
- want to have your IUD removed or replaced
You should also contact your doctor if you develop any of the following signs or symptoms while using an IUD:
- fever, chills, or other signs of infection
- bad pain or cramps in your lower belly
- unusual discharge or heavy bleeding coming from your vagina
- pain or bleeding during sex
In most cases, the potential side effects of using an IUD are minor and temporary. But in rare cases, an IUD can cause serious complications, such as:
- ectopic pregnancy
Its Also Possible To Get Pregnant If An Error During Insertion Means Your Iud Doesnt Stay In Place
For instance, if the IUD moves from the upper cavity of the uterus into the lower segment, it may not be as effective, Dr. Shepherd says.
Sometimes its even possible for the IUD to perforate the uterus, meaning it punctures the wall of the organ or goes all the way through it. However, according to the American College of Obstetricians and Gynecologists , this only happens in about 1 out of 1,000 people with IUDs, based on all the available data .
In any case, this is why doctors recommend that anyone who gets an IUD comes back a month later to make sure its still nestled in the right place in the uterus. Dr. Whelihan says that many people dont show up for that visit because they feel fine and its an inconvenience, but its important.
This is also why doctors typically recommend that people who just got IUDs check their strings monthly for at least the first three post-insertion months. Being unable to feel the strings hanging from your cervix doesnt automatically mean your IUD has migrated and left you vulnerable to pregnancy the strings can curl up around the cervix or just generally be hard to feel. But if you cant feel the strings and are experiencing any strange symptoms like pain, cramping, and bleedingor if you have those symptoms even if you can feel the stringsyou should see your ob/gyn to make sure everything checks out.
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