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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.
ParaGard is usually removed in a health care provider's office. Your provider will likely use forceps to grasp the device's strings and gently pull. The device's arms will fold upward as it's withdrawn from the uterus. Light bleeding and cramping are common during removal.