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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pregnancy Symptoms When Having Paragard Iud?

pregnant? i have an paragard iud but have been having all the symptoms of pregnancy that i experienced with my previous pregnancy. i ve gained about 20 lbs in a 7 month period, sore breasts, fatigue, amenorrhea for 2.5 months, now it s way lighter than normal, goes for 3 days and happens every 2.5 weeks. i ve been having unexplainable pelvic cramping, frequently urinating, phantom fetal movement, and overflow incontinence all with 2 negative HPT.
Tue, 26 May 2020
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OBGYN 's  Response
Hi,

Paragard which is a copper containing IUCD, though rarely can lead to fewer side effects. According to your history as two urine pregnancy test kits gave negative results and Paragard is claiming almost 99% protection rate, the possibility of pregnancy is less. According to the literature, Paragard can lead to side effects like irregular periods, pelvic inflammatory disease which can present with pelvic cramps, fatigue, urinary tract symptoms etc. Breast tenderness can be seen as part of premenstrual hormonal fluctuation. But as Paragard is non hormonal contraceptive, weight gain not a common side effect of this according to manufacturers.

As the symptoms are bothering you, better to get evaluated. Please consult your Gynecologist once, get examined and go for an ultrasound, urine routine and microscopy. With this work-up the position of IUCD, the possibility of pelvic and /or urinary tract infection can be identified and treatment can be planned accordingly. In case of infection, both the partners should be treated simultaneously to prevent the recurrence.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sree Gouri S. R., OBGYN
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What Causes Pregnancy Symptoms When Having Paragard Iud?

Hi, Paragard which is a copper containing IUCD, though rarely can lead to fewer side effects. According to your history as two urine pregnancy test kits gave negative results and Paragard is claiming almost 99% protection rate, the possibility of pregnancy is less. According to the literature, Paragard can lead to side effects like irregular periods, pelvic inflammatory disease which can present with pelvic cramps, fatigue, urinary tract symptoms etc. Breast tenderness can be seen as part of premenstrual hormonal fluctuation. But as Paragard is non hormonal contraceptive, weight gain not a common side effect of this according to manufacturers. As the symptoms are bothering you, better to get evaluated. Please consult your Gynecologist once, get examined and go for an ultrasound, urine routine and microscopy. With this work-up the position of IUCD, the possibility of pelvic and /or urinary tract infection can be identified and treatment can be planned accordingly. In case of infection, both the partners should be treated simultaneously to prevent the recurrence. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN