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:
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.
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
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
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