Copper T IUD No Longer Recommended

The Paraguard Copper T –  IUD  is No Longer Recommended by Jeffrey Dach MD

The Copper T IUD is currently in litigation for breakage of the arm during removal with retention of fragments in the uterine cavity. Other issues include heavy bleeding, disruption of vaginal microbiome with recurrent vaginal infection, copper toxicity or sensitivity, etc. Instead of the Copper T IUD, use a barrier method such as the diaphram or cervical cap (2-3)

Credit and thanks for this information goes to Lindsey Berkson and David Brownstein who discussed the adverse effects of the copper T IUD in their “Everything Hormones” course.(1)

Jeffrey Dach MD
7450 Griffin Road, Suite 190
Davie, Fl 33314
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Images and Credits

Header Image above: A common copper IUD (Paragard) with scale markings.  24 July 2012, Source File:Multiload-Gynefix-Paragard.jpg, Author User:LeiaWonder, CC 4.0

Left Image, Second Image: A cervical cap and Patentex (spermicidal) gel in the Deutsches Museum, Munich. Sony ILCE-5000 camera. 12 August 2017, Author Tiia Monto. Courtesy of wikimedia commons.

Third image below: Ortho Tri-Cyclen oral contraceptives with Ortho Dialpak dispensers Date 12 April 2006 Source Transferred from en.wikipedia to Commons.; transfer was stated to be made by Tanvir. Author BetteDavisEyes at English Wikipedia.


1) “Everything Hormones” by David Brownstein and Lindsey Berkson

Copper T IUD No Longer Recommended. USE cervical CAP and Diaphragm. (Barrier Methods) Very effective if people use them.

(Barrier Methods)
2)  Kaunitz, Andrew M. “Patient education: Birth control, which method is right for me?(Beyond the Basics).” (2024).

Barrier Methods of Birth Control: Spermicide, Condom, Sponge, Diaphragm, and Cervical Cap
Frequently Asked Questions


EP 69: Why the Copper IUD is Not a Safe Form of Birth Control
Samantha Gilbert FNC, CHNP, CNC Nutritional Therapy Counselor and Hope Communicator

From what I’ve seen over the last 14 years, the opposite is true, yet when a woman notices chronic symptoms such as yeast infections, anxiety and panic attacks, and even psychosis after insertion of this device, she is often gaslit and told to see a psychiatrist.

The FDA first approved the copper IUD under the name Paragard in 1984. In the 30 years since Paragard was approved, there have been more than 40,000 reports to the FDA according to publicly available data in the FDA Adverse Events Reporting System database (otherwise known as FAERS),
Litigation is ongoing against Paragard for injuries caused to women by the company’s intrauterine device. As of July 2024, there were 2,736 pending lawsuits and a total of 2,822 cases filed against the company in the federal court in Georgia under MDL number 2974. The first of the bellwether trial cases will be heard in 2024.

arm breakage upon removal

The Paragard IUD lawsuits claim a design flaw led to the IUD device breaking during removal. This meant that part of the device could remain lodged in the uterus or other internal organs, causing injuries.

Implanting a copper IUD into a female who is already (and usually unknowingly) overloaded with copper is a recipe for disaster. To make matters worse, few doctors are aware of copper overload, thus, they may unintentionally prescribe hormones and/or devices that could negatively impact health and well-being.

An overabundance of copper can also have a devastating effect on mental health because copper lowers dopamine (a neurotransmitter that controls the brain’s pleasure and reward centers) and increases norepinephrine (a neurotransmitter that also functions as a stress hormone) in the brain.

This explains why common, yet undisclosed side effects of copper IUDs include severe anxiety and panic attacks, depression, hair loss, anemia, increased anger and rage, brain fog, spaciness, paranoia, fatigue, and yeast and bacterial infections.

all of my female clients have complained about symptoms of insomnia, racing thoughts, heart palpitations, and dizziness after a copper IUD is inserted for birth control.

Postpartum depression (PPD) and psychosis are directly connected to elevated levels of copper, especially with multiple births because copper levels increase with each pregnancy

copper overload is quite common in women because estrogen increases copper retention in the body. It is often inherited and brought on during hormonal events such as puberty and pregnancy. If you and the women in your family share similar traits and conditions such as ADHD, painful periods, or depression, I encourage getting your copper levels checked because copper overload may run in your family as it does in mine

Zinc deficiency in parents before conception can cause miscarriage, fetal growth restrictions, learning disabilities, and mental health challenges.

In fact, thanks to great work of Dr. William Walsh, zinc deficiency is the most frequently observed chemical imbalance in mental health and cognitive functioning with more than 90% of individuals diagnosed with depression, anxiety, behavioral disorders, ADHD, autism, and schizophrenia to exhibit depleted plasma zinc levels. Additionally, most mental health disorders involve oxidative stress that depletes zinc stores in the body.

Zinc is necessary to produce important neurotransmitters and hormones such as serotonin, GABA, and dopamine.

When copper becomes elevated it turns into an pro-inflammatory agent.
Dr. Ryan Monahan, DAOM, LAc, IFMCP
Functional Medicine | Eastern Medicine
Copper IUDs: The Problems With Paragard
© 2024 Peaceful Mountain Medicine and Acupuncture Inc.

The safest and most effective approach to natural, non-hormonal birth control is a combination of the Natural Cycles App in conjunction with intravaginal neem oil injected five minutes prior to sexual intercourse.

In clinical study, Natural Cycles App has been found to be 93% effective against pregnancy, while neem oil was found to be 96.2% effective against pregnancy in a 2018 study involving 238 women.

??? Diaphragm
Crayton, John W., and William J. Walsh. “Elevated serum copper levels in women with a history of post-partum depression PPD.” Journal of Trace Elements in Medicine and Biology 21.1 (2007): 17-21.
The mean serum Cu level of 78 women with a history of PPD was 131+/-39microg/dL compared with 111+/-25microg/dL in 148 women without such a history, and 106+/-20microg/dL in non-depressed controls (p<0.001).
Brown, Bryan P., et al. “Copper intrauterine device increases vaginal concentrations of inflammatory anaerobes and depletes lactobacilli compared to hormonal options in a randomized trial.” Nature Communications 14.1 (2023): 499.
D’Ambrosio, F. Purello, et al. “Systemic contact dermatitis to copper-containing IUD.” Allergy 51.9 (1996).

PIP: Although copper sulfate can cause systemic contact dermatitis, few such cases have been recorded among copper-releasing IUD users. Reported in this paper is a case of endometritis and urticaria-angioedema syndrome in a 32-year-old user of a copper IUD. Widespread urticaria, as well as angioedema of the eyelids and the labia majora and minora, persisted for about 6 months and were not responsive to corticosteroids and H1-antagonists. Copper sulfate positivity was demonstrated in 72-hour patch test, 48-hour application of the copper spiral to forearm, and in vitro lymphocyte-stimulating test. Histologic examination of the endometrial biopsy revealed vulvovaginitis with hyperplasia of the cervical canal and T-cell and eosinophilic granulocyte infiltration. Removal of the IUD caused complete symptom remission. In experimental animals with a radioactively labeled copper IUD, small amounts of copper sulfate are absorbed through the mucus membrane and carried to the cutis through the blood or lymph. In the cutis, the allergen is intercepted from antigen-presenting cells and recognized by T cells that migrate to the lymph nodes with blastic transformation, proliferation of cytotoxic lymphocytes, and cytokine production.

Gara, Soumaya, et al. “Systemic allergic dermatitis caused by a copper‐containing intra‐uterine device.” Contact Dermatitis (01051873) 84.2 (2021).

Copper/Zinc Ratio in Psoriais
Aggarwal, Jyoti, et al. “Copper and zinc status in psoriasis: correlation with severity.” Indian Journal of Clinical Biochemistry 36.1 (2021): 120-123.

The serum trace elements analysis in the subjects revealed that serum Cu levels and Cu/Zn ratio was significantly higher in the psoriatic patients as compared to controls. Interestingly, severity of the psoriasis was well correlated with the serum Cu levels. Taking together, all these findings suggest that Cu may be a major culprit in the pathogenesis as well as in the severity of the disease.

No copper Toxicity
Atef, Alaa Mohamed, et al. “The Association between Elevated Serum Copper (Cu) Levels and Its Complications in Cu T380a IntrauterineDevice (IUD) Users; a Cross-Sectional Study.” The Egyptian Journal of Hospital Medicine (January 2024) 94: 1263-1267.

A total of 159 women using copper T380A IUD as a method of contraception
Conclusion: There was no rise in blood copper levels among IUD users, regardless of duration of usage. Copper T380A IUD is recommended to be used safely without danger of Cu toxicity.

Crandell, Lena, and Natalie Mohler. “A literature review of the effects of copper intrauterine devices on blood copper levels in humans.” Nursing for Women’s Health 25.1 (2021): 71-81.

Copper T IUD causes Aseptic inflammation

Che, Jia-Hui, and Xiao-Ying Yao. “Effects of copper-containing intrauterine devices on the endometrium.” Reproductive and Developmental Medicine 5.01 (2021): 38-43.

Studies on the morphology of endometrium indicate that the use of Cu-IUDs can affect the number and binding capacity of estrogen and progesterone receptors in the endometrium and reduce the response of the endometrium to estrogen and progesterone. The use of Cu-IUDs can also affect the proliferation of endometrial cells, suggesting that the aseptic inflammation caused by Cu-IUDs may differ from chronic infectious or noninfectious inflammation; this highlights that the use of Cu-IUDs provides protection against endometrial proliferative diseases. The use of Cu-IUDs increases local endometrial angiogenesis, bleeding tendency, and fibrinolytic activity, which can result in prolonged menstruation or abnormal uterine bleeding.
Wemrell, Maria, and Lena Gunnarsson. “Attitudes Toward the Copper IUD in Sweden: A Survey Study.” Frontiers in global women’s health 3 (2022): 920298.

Results: While many reported positive attitudes toward and experiences of the IUD, 34.7% of all respondents reported negative attitudes and 45.4% of users reported negative experiences. Negative attitudes were strongly correlated with negative experiences.
Omran, Eman A., et al. “Copper IUD increases virulence of non-albicans Candida species isolated from women with vulvovaginal candidiasis.” The European Journal of Contraception & Reproductive Health Care 25.2 (2020): 120-125.
Conclusion: IUD use enhanced the virulence (proteinase production and antifungal resistance) of NAC but not C. albicans, indicating a variation in virulence between Candida species in response to IUD use. C. albicans responded better to fluconazole, whereas NAC isolates were more sensitive to nystatin.
Sarver, Jordan, Melissa Cregan, and Daniel Cain. “Fractured copper intrauterine device (IUD) retained in the uterine wall leading to hysterectomy: a case report.” Case Reports in Women’s Health 29 (2021): e00287.

During careful removal of the IUD, a piece was broken off and remained in the uterine cavity. Upon visual inspection of the removed IUD, the right wing was missing and presumed to be still in the patient.


Jeffrey Dach MD
7450 Griffin Road, Suite 190
Davie, Fl 33314
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