Injury guide

Paragard and trying to have a baby

Trouble having a baby can have many causes. Paragard warnings do not give your diagnosis.

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Updated Oct 4, 202612 sources

This may apply to you if

  • These suggestions help you prepare for a claim check. They are not a firm's acceptance rules.
  • Describe the device, removal and harm you want checked.
  • Prepare the procedure note and later care records if available.

What the public record says

These are cited sources. Their inclusion does not imply that they endorse People’s Justice or reviewed this page.

Jordan Sarver · Ohio University Heritage College of Osteopathic Medicine · First author of the cited case report

Finding: The report describes one retained fragment and a treatment decision based on several individual factors; it does not establish a population breakage rate.

Sarver: fractured copper IUD, original full case report (opens in a new tab) · Jan 23, 2021 · Checked Oct 3, 2026

The evidence and its limits

Ohio University Heritage College of Osteopathic Medicine, lead-author affiliation · Case Reports in Women's Health · 2021

Fractured copper IUD retained in the uterine wall leading to hysterectomy: a case report

Design:
Other study design
Participants:
One 38-year-old patient.
Finding:
A copper IUD broke during removal; a fragment remained in the uterine wall near the cervix. The patient later underwent surgery after consideration of several clinical factors.
Main limitation
Single case report without a comparison group or population denominator. It cannot establish a general breakage frequency, individual legal cause, or a universal need for hysterectomy. Full original report and declarations read; authors declared no funding or conflicts.

Read the source: Fractured copper IUD retained in the uterine wall leading to hysterectomy: a case report (opens in a new tab) · Checked Oct 3, 2026

The short answer

What is infertility in this context?
It means trouble having or carrying a pregnancy. Many health factors may play a part. Past IUD use does not prove the cause. [9]
Which symptoms need attention now?
Pelvic pain, fever or unusual fluid from the vagina need prompt advice. These may be signs of infection or other problems. Do not put off care while seeking fertility tests. [5]
How is a fertility problem diagnosed and treated?
The clinician starts with history and an exam. Selected tests may check hormones, the uterus or tubes. Both partners’ health can matter. [10]
What does the research say about fertility harm?
The label warns that some problems can harm fertility. The report is about one person with a retained piece. Neither shows the cause of your own concern. [5]

What rules a case out

Not covered by this case

  • Having used Paragard alone does not decide a legal claim.
  • A symptom, public allegation or another patient’s treatment is not your diagnosis.

The process

What happens next

  1. 01

    You answer a few questions

    About two minutes. Nothing is sent until you agree on the last step and press submit.

  2. 02

    A lawyer looks at it

    A lawyer at the firm reads your answers and checks them against the current case criteria.

  3. 03

    The firm decides and gets in touch

    If the firm takes your case, you get the terms in writing to read before you sign. You can always say no.

When it fits this case

  • These suggestions help you prepare for a claim check. They are not a firm's acceptance rules.
  • Describe the device, removal and harm you want checked.
  • Prepare the procedure note and later care records if available.
  • Ask a lawyer to check the law and dates for your situation.

Trouble having a baby can have many causes. Paragard warnings do not give your diagnosis. Ask a care team about the cause, and keep the actual records.

What is infertility in this context?

It means trouble having or carrying a pregnancy. Many health factors may play a part. Past IUD use does not prove the cause.

NICHD explains that one, several or no identifiable causes may be involved. Tell the clinician about your reproductive history and current concern. Do not treat a fertility label or website checklist as proof that a device caused permanent harm.

Which symptoms need attention now?

Pelvic pain, fever or unusual fluid from the vagina need prompt advice. These may be signs of infection or other problems. Do not put off care while seeking fertility tests.

The label warns that pelvic infection can harm the fallopian tubes. Severe pain or fever shortly after placement needs immediate contact with a clinician. Suspected pregnancy with an IUD also needs prompt care; a future claim review should not delay that assessment.

How is a fertility problem diagnosed and treated?

The clinician starts with history and an exam. Selected tests may check hormones, the uterus or tubes. Both partners’ health can matter.

Prior pregnancies, period changes, pelvic pain, infections and surgery are part of the history described by NICHD. Ultrasound and other tests may be considered for different questions. Not every patient needs every test, and a result must be interpreted in its clinical setting. Treatment may include medicines, surgery or assisted reproduction, depending on the cause and goals. None promises a pregnancy.

What does the research say about fertility harm?

The label warns that some problems can harm fertility. The report is about one person with a retained piece. Neither shows the cause of your own concern.

PID can damage the tubes, and perforation can cause scarring or organ injury. Those are possible pathways, not a conclusion about every former user. The case patient’s hysterectomy reflected several factors; it was not a population study of infertility rates.

What records help a fertility claim review?

Keep the diagnosis and test reports. Add notes from placement, removal and later care. Tell the reviewer what is still missing.

Keep actual treatment plans and incurred bills distinct from possible future care. Tell the reviewer about earlier fertility concerns and other causes under assessment. Ask a lawyer which law and dates apply without assuming that a diagnosis starts the same clock in every state.

Find out where you stand.

The review is free and private. Asking for it doesn’t commit you to anything.

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Sources

  1. ABA Model Rule 1.5: feesABA Model Rule 1.5: fees
  2. Southern District of New York: time limitsSouthern District of New York: time limits · court
  3. 45 CFR 164.524: access to health records45 CFR 164.524: access to health records · regulator
  4. Sarver: fractured copper IUD, original full case reportSarver: fractured copper IUD, original full case report · study
  5. DailyMed: Paragard prescribing informationDailyMed: Paragard prescribing information · regulator
  6. May: Paragard Doc868 time-limit orderMay: Paragard Doc868 time-limit order · court
  7. Northern District of Georgia: Paragard case summaryNorthern District of Georgia: Paragard case summary · court
  8. Teva reported that the first Paragard MDL test trial ended on February 3, 2026, with a verdict in its favor. This result concerns one case. As of October 6, 2026, ask your lawyer how it affects your claim and which later court orders apply.sahmcapital.com · Feb 3, 2026
  9. NICHD: infertility and fertility
  10. NICHD: clinical infertility evaluation
  11. Northern District of Georgia: Paragard short-form complaint
  12. NICHD: infertility treatment optionsNICHD: infertility treatment options · regulator

Checked against 11 primary sources by People's Justice editors · Updated

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People's Justice research team · Updated Oct 4, 2026