"i have been using the paragard iud for one year now. i have 2 children and don&#039;t want anymore. i tried both mirena and nexplanon and both caused me to have 21+ days of bleeding at a time so i had to go with the only long term option of hormone free bc i could get. insertion was not painful, i was prescribed misoprostol and a sonogram technician was present. the first 3-4 periods were heavy and painful but after that they became more normal. overall i&#039;m happy with my decision to use this bc and really i&#039;m hoping this will continue to work out for as long as possible."