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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.
Return to fertility after IUD removal may be immediate.17 Women who switch from a copper IUD (Paragard) to a progestin IUD should use barrier contraception during the first week. When women switch to a progestin implant from a copper IUD, they should start the new method four days before removing the copper IUD.