"1st off: this is my 4th time with an iud.  the 1st paraguard i got while lactating and not having periods...clinician couldn&#039;t get iud in and 2nd time trying she forced it in.  perforated my uterus..had to have 2 surgeries to have it removed.  then years later had paraguard again..this time they did a paracervical block and the insertion was painless.  my periods were so heavy though and without realizing it i think i became severely anemic.  i had it removed and within 2 weeks started to feel alive and normal again.  that is when i realized i must have been anemic.   years later i had mirena put in due to my long spotting periods.  couldn&#039;t tolerate the hormones. have another paraguay now for 2 years and i  am exhausted all the time."