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Do not use Paragard® if you have a pelvic infection, get infections easily or have certain cancers. Less than 1% of users get a serious infection called pelvic inflammatory disease. If you have persistent pelvic or stomach pain, or if Paragard® comes out, tell your healthcare provider. If it comes out, use back-up birth control. Occasionally, Paragard®may attach to or in rare cases may go through the uterine wall and may also cause other problems. In some cases, surgical removal may be necessary. Although uncommon, pregnancy while using Paragard® can be life threatening and may result in loss of pregnancy or fertility. Bleeding or spotting may increase at first but should decrease in 2 to 3 months. Paragard® does not protect against HIV or STDs.

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