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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.
The hormonal IUDs are 99.1-99.9 percent effective, while ParaGard is 99.2-99.4 percent effective. Meaning... that out of every 100 women who these IUDs in one year, less than one will become pregnant with typical use as well as with perfect use. Although these numbers are very promising, IUDs are not foolproof.