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Risks. Less than 1 percent of women who use ParaGard will get pregnant in the first year of typical use. If you do conceive while using ParaGard, you're at higher risk of an ectopic pregnancy â when the fertilized egg implants outside the uterus, usually in a fallopian tube.
You should NOT use Paragard if you: 1  Might be pregnant before insertion. 2  Have pelvic inflammatory disease or a history of it. 3  Have a history of uterine infections, or cancer in the uterus or cervix. 4  Are allergic to copper. 5  Have Wilson's disease (a rare disease with which you accumulate too much copper in your liver)