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What are the potential causes of infection after insertion of the intrauterine copper device?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 33-year-old woman and had the paragard device about two and a half weeks ago. Yesterday afternoon I experienced nausea (although did not vomit), as well as lower back pain and cramps. I had no fever. Today the lower back pain and cramps continued, and I just took my temperature and it was 100.4 (after taking 200 mg Ibuprofen about 90 minutes ago). I am concerned about potential infection. Should I visit an urgent care clinic tonight or wait a bit longer?

Answered by Dr. Deepika Joshi

Education:

MBBS

Professional Bio:

Dr. Deepika Joshi is a dedicated Obstetrician and Gynecologist specializing in high-risk pregnancies, menstrual disorders, infertility, and fetal medicine. She provides comprehensive care for women across all stages of reproductive health. Known for her patient-first approach, she combines clinical expertise with compassionate support, ensuring women feel informed, confident, and cared for while making important decisions about their health.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Since it has been inserted two weeks ago there is a remote possibility that these symptoms are because of the paragard. It can be a totally unrelated thing but still, you need an examination. Are there any other symptoms like discharge or irregular bleeding? There are various other causes of low back ache and fever also. It can also be a presentation of any viral infection. Usually, paragard insertion if done under aseptic precaution is less likely to cause pelvic inflammation if there was no prior infection. The exact diagnosis could be made only after examination. So visit your doctor but do not panic. If the pain and fever subside today then you can wait till your appointment but if you have a fever again then have a consultation. Instead of taking Ibuprofen take Paracetamol.

Medically reviewed by iCliniq medical review team
Published At December 29, 2022
Reviewed At October 12, 2023

Education:

MBBS

Professional Bio:

Dr. Deepika Joshi is a dedicated Obstetrician and Gynecologist specializing in high-risk pregnancies, menstrual disorders, infertility, and fetal medicine. She provides comprehensive care for women across all stages of reproductive health. Known for her patient-first approach, she combines clinical expertise with compassionate support, ensuring women feel informed, confident, and cared for while making important decisions about their health.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Deepika Joshi is a dedicated Obstetrician and Gynecologist specializing in high-risk pregnancies, menstrual disorders, infertility, and fetal medicine. She provides comprehensive care for women across all stages of reproductive health. Known for her patient-first approach, she combines clinical expertise with compassionate support, ensuring women feel informed, confident, and cared for while making important decisions about their health.

This doctor is not available for online consultations on the platform anymore.

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