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Does the ParaGard IUD have to be inserted during a woman's period or can it be inserted at any time? #856/7
Can the ParaGuard IUD be inserted any other time or does it have to be done dueing your period?

ParaGard may be inserted anytime in the cycle if it is reasonable certain that a woman is NOT pregnant. 


            Here is the appropriate paragraph in Dr. David Grimes' chapter on IUDs in Contraceptive Technology:


Insertion Timing

No scientific reason supports the common practice of inserting the IUD only during menstrual bleeding. The inconvenience and cost to the woman caused by such a policy can be substantial. Allowing insertion during the entire menstrual cycle gives the woman and her provider more flexible appointment times. An IUD can be inserted at any time during the menstrual cycle, provided reasonable assurance exists that the woman is not pregnant. Sensitive pregnancy tests can assist here.


Here is how to be reasonably certain a woman is not pregnant from the World Health Organization:


How to be Reasonably Sure a Client is Not Pregnant


If the client answers YES to any question, proceed to

the first box directly below and YES column.


NO                                                                                                                             YES

1.      Did you have a baby less than 6 months ago, are you fully or

nearly/fully breastfeeding, and had no menstrual period since


2.     Have you abstained from sexual intercourse since your last

menstrual period?

3.      Have you had a baby in the last 4 weeks?

4.      Did your last menstrual period start within the past 7 days?

           5.      Have you had a miscarriage or abortion in the last 7 days?

6.      Have you been using a reliable contraceptive method consistently

and correctly?


Client answered YES to at least one question.

If the client answers "Yes" to any one question, and has no signs or symptoms of pregnancy, then she can safely be provided with her method of choice.  It is very important that the provider trust what the client says.  For example, if the client says her menstrual period started within the past seven days, the provider should accept the client's word.


 Sources:  1 Technical Guidance/Competence Working Group (TG/CWG).  Recommendations for Updating Selected Practices in Contraceptive Use:  Volume11.  Washington:  U.S. Agency for International Development, 1997.

2 Stanback J, Qureshi Z, Sekadde-Kigondu C, Gonzalez B, Nutley T. Checklist for Ruling Out Pregnancy Among Family-Planning Clients in Primary Care. Lancet August 14, 1999; 354(9178): 566


Does this answer your question adequately?


David A. Grimes, MD

Vice President of Biomedical Affairs

Family Health International Clinical

Professor, Department of Obstetrics and Gynecology

University of North Carolina School of Medicine


Key Words:    ParaGard IUD, inserted, period, Contraceptive Technology, Dr. David Grimes


Robert A. Hatcher MD, MPH
Emeritus Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA

The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem.
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