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Paragard IUD Lawsuit

The Paragard copper IUD has been breaking during removal, leaving fragments inside the body that require surgical removal and can cause organ damage.

Last updated: March 6, 2026

3,569+
Pending Cases (Sept 2025)
MDL 2974
Northern District of Georgia
2026
Bellwether Trials Underway
Since 1988
Paragard on Market

What Is the Paragard IUD Lawsuit About?

The Paragard IUD lawsuit involves claims that the Paragard T 380A copper intrauterine device is prone to breaking during routine removal, leaving plastic and copper fragments inside the body. Thousands of women allege that the T-shaped device's plastic arms fracture when a healthcare provider attempts to remove it, requiring additional surgeries to extract the broken pieces and causing complications including organ perforation, infection, infertility, and in some cases the need for a hysterectomy.

The lawsuits are consolidated in MDL 2974 in the Northern District of Georgia before Judge Leigh Martin May. As of September 2025, there were 3,569+ pending cases in the MDL. The defendants are Teva Pharmaceuticals (which manufactured and sold Paragard until 2017) and CooperSurgical (a subsidiary of The Cooper Companies, which acquired Paragard for $1.1 billion in 2017 and currently markets the device).

The litigation reached a critical stage in early 2026 with the first bellwether trial beginning on January 20, 2026, followed by a second trial on March 3, 2026, and a third scheduled for May 11, 2026. The outcomes of these bellwether trials are expected to significantly shape the future of the litigation and potential settlement negotiations. For background on how test cases influence mass tort outcomes, see our guide on what is a bellwether trial.

How the Paragard IUD Breaks During Removal

The Paragard IUD is a T-shaped device with a vertical stem and two horizontal arms made of a flexible plastic (polyethylene) with copper wire wrapped around them. The device is designed to be removed by a healthcare provider who pulls on a thin monofilament string attached to the bottom of the stem. In a normal removal, the arms fold upward as the device is pulled through the cervical canal.

Plaintiffs allege that in thousands of cases, one or both of the plastic arms snap off during this removal process rather than folding as designed. The broken arms remain inside the uterus or can migrate to other areas of the body. This breakage can occur even during what appears to be a routine removal by an experienced healthcare provider. The lawsuit contends that the plastic material becomes brittle over time while implanted, making fracture more likely the longer the device has been in place.

Paragard IUD: How Breakage Occurs During Removal The T-shaped arms are designed to fold upward, but can fracture instead Step 1: Implanted removal string Device in T-shape inside uterus Arms extended horizontally Copper wire wrapped around arms Monofilament string hangs through cervix for removal Step 2: Normal Removal Pull direction Arms fold upward as intended Device slides through cervix intact — no complications Step 3: BREAKAGE X Fragment retained! Arm snaps off during removal Broken fragments left in body May require surgery to remove Can perforate organs, cause infection, and impair fertility

Device at Issue in the Paragard Lawsuit

Paragard T 380A

by CooperSurgical (current) / Teva Pharmaceuticals (former)

Copper IUD — subject of breakage lawsuits

Complications from Retained Paragard Fragments

When the Paragard IUD breaks during removal, the retained fragments can cause a range of serious medical complications. Many women who experience device breakage require one or more additional surgical procedures to locate and remove the fragments, and some sustain permanent injuries.

Complications from Retained Paragard Fragments Retained Fragments Organ Perforation Fragments pierce uterine wall or nearby organs Infection Pelvic inflammatory disease, abscess, sepsis risk Infertility Uterine or tubal damage impairs ability to conceive Ectopic Pregnancy Increased risk of pregnancy outside the uterus Chronic Pain Persistent pelvic/abdominal pain Hysterectomy Surgical uterus removal may be needed
  • Organ perforation: Retained fragments can embed in or pierce the uterine wall, and in some cases migrate to other organs including the bowel, bladder, or abdominal cavity.
  • Infection: Foreign material left inside the body creates a risk of serious infection, including pelvic inflammatory disease (PID), which can lead to abscess formation or sepsis.
  • Infertility: Damage to the uterus, fallopian tubes, or ovaries from fragments or from the surgical procedures needed to remove them can impair a woman's ability to become pregnant.
  • Ectopic pregnancy: Retained fragments can increase the risk of ectopic pregnancy (pregnancy outside the uterus), a potentially life-threatening condition.
  • Chronic pain: Many women experience persistent pelvic and abdominal pain from retained fragments, even after removal surgery.
  • Hysterectomy: In severe cases, the damage from broken fragments is extensive enough to require surgical removal of the uterus (hysterectomy).
  • Additional surgeries: Locating and removing broken fragments often requires hysteroscopy, laparoscopy, or open surgery — procedures that carry their own risks and recovery time.

Did Your Paragard IUD Break During Removal?

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Who Qualifies for the Paragard IUD Lawsuit?

Eligibility for the Paragard IUD lawsuit is based on whether your device broke during removal and whether you experienced complications as a result. The following criteria are generally used to evaluate potential claims:

Do You Qualify for the Paragard IUD Lawsuit?

You may be eligible to file a claim if the following apply to your experience. Consult an attorney for a personalized evaluation.

  • You had a Paragard T 380A copper IUD implanted
  • The device broke, fractured, or fragmented during removal or attempted removal
  • One or both arms of the T-shaped device snapped off during the removal procedure
  • Fragments of the device were retained in your body after removal
  • You required additional surgery (hysteroscopy, laparoscopy, or open surgery) to remove broken pieces
  • You experienced complications such as organ perforation, infection, chronic pain, or infertility
  • You underwent a hysterectomy as a result of Paragard complications
  • You are within the statute of limitations for your state (consult an attorney to confirm)

Lawsuit Timeline

The Paragard IUD litigation has been building for several years and is now entering its most critical phase with bellwether trials in 2026. Here are the key dates and milestones:

Lawsuit Timeline

1988

Paragard Enters the U.S. Market

The Paragard T 380A copper IUD receives FDA approval and enters the U.S. market as a long-term, hormone-free contraceptive option. It is marketed as lasting up to 10 years.

2004-Present

FDA Adverse Event Reports Accumulate

The FDA receives a growing number of adverse event reports related to Paragard device breakage during removal, including fractured arms, retained fragments, and complications requiring surgical intervention.

2017

CooperSurgical Acquires Paragard

CooperSurgical (a subsidiary of The Cooper Companies) acquires the Paragard IUD product line from Teva Pharmaceuticals for approximately $1.1 billion.

2019

Lawsuits Begin to Accumulate

Individual lawsuits alleging Paragard device breakage and complications are filed in federal courts across the country, with plaintiffs citing design defects and inadequate warnings.

December 2020

MDL 2974 Created

The Judicial Panel on Multidistrict Litigation creates MDL 2974 in the Northern District of Georgia before Judge Leigh Martin May, consolidating all federal Paragard IUD cases.

2021-2025

Discovery and Pretrial Proceedings

Extensive discovery proceeds, including document production from defendants, expert depositions, and Daubert hearings on scientific evidence. Over 3,500 cases are filed in the MDL.

January 20, 2026

First Bellwether Trial Begins

The first bellwether trial in MDL 2974 begins in the Northern District of Georgia. This test case will help establish the value of claims and may influence settlement negotiations.

March 3, 2026

Second Bellwether Trial Scheduled

The second bellwether trial is scheduled to begin, testing a different set of facts and injuries from the first trial.

May 11, 2026

Third Bellwether Trial Scheduled

The third bellwether trial is scheduled. The outcomes of these three bellwether trials are expected to significantly impact the direction of the litigation.

Settlement Amounts

As of early 2026, the Paragard IUD litigation has not yet reached a global settlement. Settlement negotiations are expected to progress significantly based on the outcomes of the three bellwether trials scheduled for 2026. The results of these test cases will help both sides evaluate the strength of the claims and the range of potential damages.

The estimated settlement ranges below are based on the types of injuries involved and comparable medical device litigation. Actual settlement amounts will depend on the bellwether trial outcomes and subsequent negotiations between plaintiffs and defendants.

Estimated Settlement Ranges

These ranges are estimates based on publicly available settlement data and comparable cases. Individual results vary significantly.

Factors that will influence individual claim values include: the specific complications experienced, whether a hysterectomy was required, the impact on fertility, the number of additional surgeries needed, the duration of symptoms, and the quality of medical documentation. For a general overview of how mass tort settlements are calculated, see our mass tort settlement amounts guide.

How to File a Paragard IUD Claim

If your Paragard IUD broke during removal and you experienced complications, here is the process for filing a claim:

How to File a Paragard IUD Lawsuit Claim

1

Free Case Evaluation

Contact an attorney for a free review of your Paragard IUD experience. Provide details about your device, when it was implanted and removed, and any complications.

2

Document Your Experience

Gather medical records from the IUD implantation, removal attempt, any imaging (X-rays, ultrasounds, CT scans) showing broken fragments, and records of any follow-up surgeries.

3

Verify Device Breakage

Your attorney will work to confirm that your Paragard IUD broke during removal and that fragments remained in your body. Medical imaging and surgical reports are key evidence.

4

File Your Claim

Your attorney files your case as part of MDL 2974 in the Northern District of Georgia or in an appropriate state court, depending on the circumstances of your case.

5

Case Progresses Through MDL

Your case moves through the MDL process, which includes coordinated discovery, possible bellwether trial selection, and eventual settlement negotiations or trial.

6

Resolution

Your case is resolved through settlement or trial verdict. Attorneys work on contingency — you pay nothing unless you receive compensation.

For more detail on the general process, see our guide on how to join a mass tort lawsuit. Learn about how mass tort attorneys get paid through contingency fees — you pay nothing unless you receive compensation.

Named Defendants

The Paragard IUD lawsuit names the following defendants:

  • Teva Pharmaceuticals — The global pharmaceutical company that manufactured and sold the Paragard IUD until 2017. Teva is alleged to have known about the device's tendency to fracture during removal and failed to adequately warn patients and healthcare providers about this risk.
  • CooperSurgical (The Cooper Companies) — CooperSurgical acquired the Paragard product line from Teva for approximately $1.1 billion in 2017 and is the current manufacturer and marketer of the device. Plaintiffs allege that CooperSurgical continued to sell the device with a known breakage defect and without adequate warnings.

Plaintiffs in the Paragard MDL allege that both defendants are responsible for design defects in the device and failure to warn about the risk of breakage during removal. The claims include strict liability, negligence, breach of warranty, and failure to warn. For other medical device lawsuits, see our pages on the hernia mesh lawsuit and the Bard PowerPort lawsuit.

Medical and Scientific Evidence

The medical evidence in the Paragard IUD litigation centers on the device's tendency to fracture during removal and the injuries that result from retained fragments. Key elements of the evidence include:

  • FDA adverse event reports: The FDA's MAUDE (Manufacturer and User Facility Device Experience) database contains thousands of adverse event reports related to Paragard device breakage, documenting instances of arm fracture, fragment retention, and resulting complications.
  • Material degradation evidence: Expert testimony in the MDL addresses how the polyethylene plastic used in the Paragard arms can become brittle over time when exposed to the uterine environment, increasing the risk of fracture during removal.
  • Medical literature: Published case reports and clinical studies in peer-reviewed medical journals have documented instances of Paragard IUD breakage and the complications associated with retained fragments, including the need for surgical intervention.
  • Defendant knowledge: Discovery in the MDL has produced internal documents from both Teva and CooperSurgical related to their awareness of the breakage issue, complaint tracking, and decisions regarding product warnings and design modifications.
  • Expert engineering analysis: Plaintiffs' expert witnesses have analyzed the device design, material properties, and failure modes to establish that the breakage is attributable to a design defect rather than improper removal technique.

The bellwether trials in 2026 will be the first opportunity for a jury to evaluate this evidence and determine whether the defendants are liable for the injuries caused by Paragard breakage. For another case involving a contraceptive product, see the Depo-Provera brain tumor lawsuit.

Frequently Asked Questions

What is the Paragard IUD?
Paragard (T 380A) is a copper intrauterine device (IUD) used for long-term birth control. Unlike hormonal IUDs such as Mirena or Kyleena, Paragard uses a small amount of copper wrapped around a T-shaped plastic frame to prevent pregnancy. It is FDA-approved for up to 10 years of continuous use. The device is inserted into the uterus by a healthcare provider and is designed to be removed by pulling on a thin string that extends through the cervix. The lawsuit alleges that the plastic arms of the T-shaped device are prone to fracturing during the removal procedure.
Why does the Paragard IUD break during removal?
Plaintiffs allege that the Paragard IUD has a design defect that makes its plastic arms brittle and prone to fracturing during routine removal. Over the years that the device remains implanted, the plastic may degrade, becoming more susceptible to breakage. When a healthcare provider pulls on the removal string, one or both of the T-shaped arms can snap off, leaving fragments embedded in the uterine wall or elsewhere in the body. The lawsuit contends that the manufacturers knew or should have known about this tendency and failed to adequately warn patients and healthcare providers.
What complications can occur from a broken Paragard IUD?
When the Paragard IUD fractures during removal, the retained fragments can cause a range of serious complications. These include: organ perforation (fragments can pierce the uterine wall or migrate to other organs), infection (retained foreign material can lead to pelvic inflammatory disease or other infections), infertility (damage to the uterus or fallopian tubes can impair fertility), ectopic pregnancy (increased risk if fragments remain), chronic pain (persistent pelvic pain from retained fragments), and hysterectomy (surgical removal of the uterus may be necessary in severe cases). Many women require additional surgical procedures — including laparoscopy, hysteroscopy, or open surgery — to locate and remove the broken fragments.
When are the Paragard bellwether trials?
Three bellwether trials are scheduled in MDL 2974 for 2026. The first trial began on January 20, 2026, the second is scheduled for March 3, 2026, and the third is scheduled for May 11, 2026. These bellwether trials are test cases selected to represent the broader pool of claims. Their outcomes will help establish the range of potential damages and are expected to influence settlement negotiations between the parties. For more on how bellwether trials work, see our guide on what is a bellwether trial.
How much compensation can I receive from the Paragard lawsuit?
Because the Paragard litigation has not yet reached a settlement, specific compensation amounts are not yet established. However, based on the nature of the injuries and comparable medical device litigation, legal analysts have projected potential settlement ranges of: $50,000 to $150,000 for cases involving fragment removal surgery, $150,000 to $400,000 for cases involving organ damage or multiple surgeries, and $400,000 to $1,000,000 or more for cases involving infertility or hysterectomy. Actual amounts will depend on the outcomes of bellwether trials and subsequent settlement negotiations. For general information, see our mass tort settlement amounts guide.
Can I still file a Paragard IUD lawsuit?
Yes. As of early 2026, the Paragard MDL is actively accepting new cases. The statute of limitations for medical device personal injury claims varies by state, typically ranging from 1 to 6 years from the date of injury or discovery of the injury. If your Paragard IUD broke during removal and you experienced complications, contact an attorney as soon as possible to determine whether you are still within the applicable filing deadline for your state.
Do I need to have the broken fragment removed to file a claim?
No. You can file a claim whether the fragment has been surgically removed or is still retained in your body. In fact, if the fragment is still present, imaging such as X-rays or CT scans showing the retained piece can serve as strong evidence in your case. Your medical records documenting the breakage event, any complications experienced, and any treatments or surgeries undergone are the most important evidence for your claim.
Is the Paragard lawsuit related to other IUD lawsuits?
The Paragard IUD lawsuit is separate from lawsuits involving hormonal IUDs like Mirena, which involved different allegations (primarily related to IUD migration and perforation rather than arm fracture). However, all IUD lawsuits share the common theme of medical device complications. If you have experienced complications from other medical devices, you may also want to explore the hernia mesh lawsuit, the Bard PowerPort lawsuit, or the Depo-Provera brain tumor lawsuit.

Legal Disclaimer

This is for informational purposes only and does not constitute legal advice. It does not create an attorney-client relationship. The information presented may not reflect the most current legal developments. Consult a qualified attorney in your jurisdiction for advice about your specific situation.

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